| NPI | 1528418720 |
|---|---|
| Former Name | MELISSA LYNN DUKICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: NH 1352) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2016-06-18 |
| Last Update Date | 2023-11-15 |