Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | 021882 | NY |
NPI | 1689948119 |
---|---|
Provider Name | Mrs. Melody R Overend |
First Address | Jamestown, NY 14701 |
Second Address | Jamestown, NY 14701-5384 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2012 |
Last Update Date | 01/03/2012 |