LUKE MELLISH

WINSTON SALEM, NC
NPI1821604794
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NC  6460)
Enumeration Date2020-09-16
Last Update Date2020-09-16
Business Address
LUKE MELLISH CRNA
MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157-0001
Phone number: 540-250-5513
Mailing Address
LUKE MELLISH CRNA
1834 BRANTLEY ST
WINSTON SALEM, NC 27103-3710
Phone number:
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