MELINA NELSON SHADE

DILLINGHAM, AK
NPI1942418462
Former NameMELINA ANN NELSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-05-18
Last Update Date2007-07-08
Business Address
-- MELINA NELSON SHADE
6000 KANAKANAK ROAD
DILLINGHAM, AK 99576-0130
Phone number: 907-842-5201
Mailing Address
-- MELINA NELSON SHADE
MEDICAL STAFF OFFICE PO BOX 130
DILLINGHAM, AK 99576-0130
Phone number: 907-842-9218
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