DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MELONEE HARRIS

Active Sole Proprietor

374K00000X · FERGUSON, MO

Registration Details

NPI Number
1902495658
Provider Type
Individual
Gender
Female
NPI Issued
Jan 15, 2021 (5.3041792245885 yrs)
Last Updated
Jan 15, 2021
Sole Proprietor
Yes

Practice Information

Address
111 CHURCH ST APT 215
FERGUSON, MO, 631352458
Browse MO providers · Browse ZIP 63135
Phone
3142545168
Primary Specialty
374K00000X
374K00000X
Additional Specialty
374K00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.