Individual
MS. MELODY BOSKUIL KONG-NDOUMBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
4TH ST. AND G AVENUE, WEED ARMY COMMUNITY HOSPITAL, BUILDING 166, ROOM 414, ATTN: CREDENTIALS OFFICE, FORT IRWIN, CA 92310-5109
(760) 380-6293
Mailing address
8407 REMAGEN ST APT B, FORT IRWIN, CA 92310-2467
(262) 354-2468
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
Primary
132473-030
WI
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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