Most Relevant Information
Provider Data
| NPI Number: | 1003283094 |
| Provider Name: | MELISSA ANNE MALITO COTA/L |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: | OH02251 |
Most Important Dates
| Enumeration Date: | 08/26/2015 |
| Last Updated: | 08/26/2015 |
Provider Practice Location
100 DEBARTOLO PL
SUITE 220
BOARDMAN
OH
445127011
Practice Location Phone/Fax
| Phone: | 3309657828 |
| Fax: |
Provider Mailing Location
100 DEBARTOLO PL
SUITE 220
BOARDMAN
OH
445127011
Provider Mailing Phone/Fax
| Phone: | 3309657828 |
| Fax: |