MS. Malissa Marie Minton, RN

NPI #1568943595 in Fairborn, Ohio

Provider Information

NPI Number: 1568943595
Entity Type: Individual
Name: MS. Malissa Marie Minton, RN
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Registered Nurse
Credential: RN
Enumeration Date: Aug 28, 2018
Last Updated: Aug 28, 2018

Practice Location

Address: 422 SYCAMORE DR
City: Fairborn
State: Ohio
ZIP Code: 45324-6442
Phone: (937) 694-4296

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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