MELISSA PENN

GALLUP, NM
NPI1720489933
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: KY  3008763)
Enumeration Date2014-09-07
Last Update Date2014-09-07
Business Address
-- MELISSA PENN CNM
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
Mailing Address
-- MELISSA PENN CNM
516A W MESA AVE
GALLUP, NM 87301-6466
Phone number: 502-327-0108