Individual
MS. MELTHRES JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
465 PEREGRINE ST, VIRGINIA BEACH, VA 23462-1882
(757) 752-6199
Mailing address
465 PEREGRINE ST, VIRGINIA BEACH, VA 23462-1882
(757) 752-6199
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001306943
VA
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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