MELANY CORONADO

LEWISTON, ID
NPI1144645219
Former NameMELANY RATZLAFF
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: ID  N-399224)
Additional Taxonomies163W00000X Registered Nurse
(Licence: WA  RN60419633)
Enumeration Date2014-02-26
Last Update Date2014-03-05
Business Address
-- MELANY CORONADO
325 SNAKE RIVER AVE
LEWISTON, ID 83501-2261
Phone number: 208-798-4595
Mailing Address
-- MELANY CORONADO
325 SNAKE RIVER AVE
LEWISTON, ID 83501-2261
Phone number: 208-798-4595