Individual
MELINDA SUE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
917 S SCHEUBER RD, CENTRALIA, WA 98531
(360) 736-9384
(360) 736-6284
Mailing address
917 S SCHEUBER RD, CENTRALIA, WA 98531-9027
(360) 736-9384
(360) 736-6284
Taxonomy
Speciality
Code
Description
License number
State
163WI0600X
Infection Control Registered Nurse
Primary
RN61261794
WA
Other
Enumeration date
05/19/2022
Last updated
06/01/2022
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