Individual
RAUDEL MELCHOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-3000
Mailing address
16415 47TH PL S, SEATAC, WA 98188-3268
(915) 731-5259
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP61382758
WA
363LG0600X
Gerontology Nurse Practitioner
AP61382758
WA
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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