Individual
MRS. VENIECE MELLISSA HERNANDEZ-CEBALLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3263 ALLYN LN, MONITOR, WA 98815
(509) 782-1718
(509) 782-1718
Mailing address
PO BOX 477, MONITOR, WA 98836-0477
(509) 782-1718
(509) 782-1718
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
603085613
WA
Other
Enumeration date
02/16/2011
Last updated
02/16/2011
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