| NPI | 1902462542 |
|---|---|
| Former Name | MELODY JOY MAYACO MAYAMNES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95008474) |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2023-10-16 |