Individual
MELINDA DAWN HAMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1508 3RD AVE EAST, BIG STONE GAP, VA 24219
(276) 523-0599
(276) 523-4690
Mailing address
1508 3RD AVE EAST, BIG STONE GAP, VA 24219
(276) 523-0599
(276) 523-4690
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002059154
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002059154
LPN
VA
Enumeration date
09/12/2012
Last updated
09/12/2012
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