Individual
MELODIE RODEBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN00052138
Contact information
Practice address
1620 S PIONEER WAY, MOSES LAKE, WA 98837-2487
(509) 766-2670
Mailing address
1620 S PIONEER WAY, MOSES LAKE, WA 98837-2487
(509) 766-2670
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN00052138
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7440027
—
WA
Enumeration date
12/05/2017
Last updated
09/06/2019
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