| Doctor Name: | MS. MELISSA MADUENO |
| NPI Number: | 1053791525 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | MT.0016758 |
| Business Practice Address: | 21190 Tatanka Trl Peyton, CO - 808319369 |
| Business Phone Number: | 7193607475 |
| Business Fax Number: | |
| Mailing Address: | 21190 Tatanka Trl, PEYTON |
| State: | CO |
| Postal Code: | 808319369 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/31/2015 |
| NPI Last Update Date: | 05/31/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 175L00000X |
| License Number: | MT.0016758 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Homeopath |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is educated and trained in a system of therapeutics in which diseases are treated by drugs which are capable of producing in healthy persons symptoms like those of the disease to be treated. Treatment requires administering a drug in minute doses. |