Individual
MS. MELANIE JOAN SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
480 CENTRAL AVE, PEARL HARBOR, HI 96860-4908
(229) 848-2770
Mailing address
98-719 IHO PL, #5-602, AIEA, HI 96701-2515
(229) 848-2770
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN078892
GA
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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