Most Relevant Information
Provider Data
| NPI Number: | 1003499617 |
| Provider Name: | MELISA NOA DE LA PAZ MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: | 11023042A |
Most Important Dates
| Enumeration Date: | 05/01/2021 |
| Last Updated: | 06/05/2023 |
Provider Practice Location
966 BARTLEY ST
JASPER
IN
475462641
Practice Location Phone/Fax
| Phone: | 8129965425 |
| Fax: |
Provider Mailing Location
966 BARTLEY ST
JASPER
IN
475462641
Provider Mailing Phone/Fax
| Phone: | 8129965425 |
| Fax: |