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Melanie Southard

NPI 1376152694 · on the registry since 2020

Practice

Address
1355 County Road 204
Buckholts, TX 76518
Phone
(951) 760-0766

Registry record

Primary taxonomy
164X00000X
164X00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-07-23

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 Texas