Individual
MELISSA E SAN ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 E WICKERSHAM WAY, WASILLA, AK 99654-7550
(907) 373-7700
(907) 373-1610
Mailing address
3600 E WICKERSHAM WAY, WASILLA, AK 99654-7550
(907) 373-7700
(907) 373-1610
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
130443
AK
Other
Enumeration date
05/25/2018
Last updated
05/25/2018
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