Individual
MRS. MELINDA GROOMS-UNRUH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
513 E YACOLT RD, YACOLT, WA 98675-5535
(360) 607-6443
(360) 686-8205
Mailing address
513 E YACOLT RD, PO BOX 291, YACOLT, WA 98675-5535
(360) 607-6443
(360) 686-8205
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60218267
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
634139
—
WA
Enumeration date
07/22/2013
Last updated
07/22/2013
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