Richard Alan Melton III

NPI #1497388656 in Cantonment, Florida

Provider Information

NPI Number: 1497388656
Entity Type: Individual
Name: Richard Alan Melton III
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Feb 17, 2020
Last Updated: Feb 17, 2020

Practice Location

Address: 401 KILKENNY WAY
City: Cantonment
State: Florida
ZIP Code: 32533-6885
Phone: (850) 516-9323

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X

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