Individual
MRS. MELANIE DACUMOS YOINGCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, AGACNP-BC
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-2433
(909) 825-2089
Mailing address
2499 DOWNING CT, GURNEE, IL 60031-1095
(224) 399-9500
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
041285592
IL
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
209.015147
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316498934
—
IL
Enumeration date
10/19/2016
Last updated
03/23/2025
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