Provider Demographics
NPI:1083379549
Name:MELANSON, SHERYL (CERT HEALTH COACH)
Entity Type:Individual
Prefix:
First Name:SHERYL
Middle Name:
Last Name:MELANSON
Suffix:
Gender:F
Credentials:CERT HEALTH COACH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 MONTVALE AVE STE 315
Mailing Address - Street 2:
Mailing Address - City:STONEHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02180-2446
Mailing Address - Country:US
Mailing Address - Phone:248-891-1268
Mailing Address - Fax:
Practice Address - Street 1:38 MONTVALE AVE STE 315
Practice Address - Street 2:
Practice Address - City:STONEHAM
Practice Address - State:MA
Practice Address - Zip Code:02180-2446
Practice Address - Country:US
Practice Address - Phone:248-891-1268
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-01
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
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