Most Relevant Information
Provider Data
| NPI Number: | 1003421488 |
| Provider Name: | MELISSA MAE G PUNZALAN |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/11/2020 |
| Last Updated: | 07/28/2022 |
Provider Practice Location
3804 LU LN
HAHIRA
GA
316323299
Practice Location Phone/Fax
| Phone: | 9197593690 |
| Fax: |
Provider Mailing Location
3804 LU LN
HAHIRA
GA
316323299
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |