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Contact Information

GAIL D MELPOLDER, COMS, CLVT, CRC
6 FAWN LN
LA LUZ, NM88337-9339
 Phone: 575-415-2008
 Fax: 888-453-1138
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for GAIL D MELPOLDER · (Female)

NPI Number 1598097123
Status Active
Credentials COMS, CLVT, CRC
Entity Individual
Enumeration date 02/07/2010
Last updated 02/07/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • License # 00016215 CRCC
  • License # 4815 - ACVREP
  • License # 5622 ACVREP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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