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Melyssa Frederick
NPI 1114131422 · on the registry since 2007 · sole proprietor
Practice
- Address
- 396 Benbow Ct
Ballwin, MO 63011 - Phone
- (636) 207-7878
- Fax
- (636) 207-7869
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri