Individual
MELISSA HIRST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
33811 9TH AVE S, FEDERAL WAY, WA 98003-6707
(360) 825-6525
Mailing address
38 MILLER LN, MONTESANO, WA 98563-9792
(360) 589-4956
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60598657
WA
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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