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Individual

MELODY DOMINGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
94-1116 HALEKUKUI ST, WAIPAHU, HI 96797-6241
(808) 218-3208
Mailing address
94-1116 HALEKUKUI ST, WAIPAHU, HI 96797-6241

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5011
HI

Other

Enumeration date
01/18/2025
Last updated
01/18/2025
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