Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker |
NPI | 1003170788 |
---|---|
Provider Name | Ms. Melissa Lynn Arnett |
First Address | Pahrump, NV 89048-0900 |
Second Address | Pahrump, NV 89048-0900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2012 |
Last Update Date | 27/06/2012 |