MELONESE MCCALLISTER

PORTSMOUTH, VA
NPI1023243367
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: VA  0001199288)
Enumeration Date2009-05-15
Last Update Date2009-05-15
Business Address
-- MELONESE MCCALLISTER 0001199288
3604 TYRE NECK RD
PORTSMOUTH, VA 23703-3158
Phone number: 757-673-3243
Mailing Address
-- MELONESE MCCALLISTER 0001199288
3604 TYRE NECK RD
PORTSMOUTH, VA 23703-3158
Phone number: 757-673-3243