Individual
MELISSA MARIA KALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-3869
Mailing address
2419 BURLWOOD ST NE, LACEY, WA 98516-4520
(808) 753-3372
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN277494
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN-1634W00000X
—
MA
Enumeration date
07/20/2017
Last updated
07/20/2017
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