Individual
MELISA JO MONICAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8204 CROWN POINT AVE, OMAHA, NE 68134-1922
(402) 557-3500
Mailing address
7028 GIRARD ST, OMAHA, NE 68152-2042
(402) 813-5103
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
55863
NE
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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