Individual
MRS. TRINA LIGHT MELODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
ONE TORNADO WAY, KEYSER HIGH SCHOOL, KEYSER, WV 26726
(304) 788-4230
(304) 788-4234
Mailing address
ONE TORNADO WAY, KEYSER HIGH SCHOOL, KEYSER, WV 26726
(304) 788-4230
(304) 788-4234
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
27076
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0161619000
—
WV
Enumeration date
10/26/2007
Last updated
10/26/2007
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