Individual provider · Type 1 NPI

Melissa Blain

Student in an Organized Health Care Education/Training Program · Teaneck, NJ

NPI number 1003211186 Active

Practice location

102 Walraven Dr, Apt 3A
Teaneck, NJ 07666-5116

Call (732) 754-0342 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003211186

Melissa Blain's National Provider Identifier is 1003211186, issued on Oct 30, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Teaneck, NJ. The record was last updated on Oct 30, 2014.