Individual
MELANIE SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1045 KILAUEA AVE, HILO, HI 96720-4201
(808) 974-4320
(808) 933-0533
Mailing address
PO BOX 5533, HILO, HI 96720-8533
(808) 974-4320
(808) 933-0533
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
539372-15
—
HI
Enumeration date
02/22/2007
Last updated
07/09/2007
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