Individual
MELANY CORONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 SNAKE RIVER AVE, LEWISTON, ID 83501-2261
(208) 798-4595
Mailing address
325 SNAKE RIVER AVE, LEWISTON, ID 83501-2261
(208) 798-4595
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
N-399224
ID
163W00000X
Registered Nurse
RN60419633
WA
Other
Enumeration date
02/26/2014
Last updated
03/05/2014
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