Individual provider · Type 1 NPI

Gail Denise Melpolder, COMS, CLVT, CRC

Specialist · La Luz, NM

NPI number 1598097123 Active

Practice location

6 Fawn Ln
La Luz, NM 88337-9339

Fax (888) 453-1138

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X4815 - ACVREP
Specialist 174400000X5622 ACVREP
Specialist 174400000X00016215 CRCC

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

About NPI 1598097123

Gail Denise Melpolder, COMS, CLVT, CRC's National Provider Identifier is 1598097123, issued on Feb 7, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in La Luz, NM. The record was last updated on Feb 7, 2010.