Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | J5408 | TX |
NPI | 1346345998 |
---|---|
Provider Name | Dr. Ana Maria Mello |
First Address | Lebanon, PA 17042-7529 |
Second Address | Lebanon, PA 17042-7529 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2006 |
Last Update Date | 08/07/2007 |