Doctor Name: | MS. MELISSA ELEANOR TRUDELL |
NPI Number: | 1730376336 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.M.T. |
License Number: | 1538 |
Business Practice Address: | 1810 Inca Rd Ne Rio Rancho, NM - 871245309 |
Business Phone Number: | 5054403063 |
Business Fax Number: | 5058928794 |
Mailing Address: | 1515 Valley Vista Ct Se, RIO RANCHO |
State: | NM |
Postal Code: | 871242862 |
Phone Number: | 5054403063 |
Fax Number: | 5058928794 |
NPI Enumeration Date: | 09/27/2007 |
NPI Last Update Date: | 09/27/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 1538 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |