Melonese Mccallister, 0001199288
NPI #1023243367 in Portsmouth, Virginia
Provider Information
- NPI Number
- 1023243367
- Entity Type
- Individual
- Name
- Melonese Mccallister, 0001199288
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse - Psychiatric/Mental Health
- Credential
- 0001199288
- Enumeration Date
- May 15, 2009
- Last Updated
- May 15, 2009
Practice Location
- Address
- 3604 TYRE NECK RD
- City
- Portsmouth
- State
- Virginia
- ZIP Code
- 23703-3158
- Phone
- (757) 673-3243
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Psychiatric/Mental Health — Psychiatric/Mental Health |
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|---|---|
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