MELISSA MANTOOTH

FORT RUCKER, AL
NPI1235501693
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: AL  2066467)
Additional Taxonomies164W00000X Licensed Practical Nurse
(Licence: MS  P324855)
164W00000X Licensed Practical Nurse
(Licence: HI  LPN16824)
Enumeration Date2015-10-26
Last Update Date2015-10-26
Business Address
-- MELISSA MANTOOTH LPN
BUILDING 301 ANDREWS AVE. LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362-5333
Phone number: 334-255-7930
Mailing Address
-- MELISSA MANTOOTH LPN
BUILDING 301 ANDREWS AVE. LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362-5333
Phone number: 334-255-7930
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