NPI 1104317098
Melissa E San Roman
Practice location
- Address
- 3600 E Wickersham Way, Wasilla, AK 99654-7550
- Phone
- (907) 373-7700
- Fax
- (907) 373-1610
Registered specialties
Hearing Instrument Specialist
Primary
Registry record
- NPI
- 1104317098
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 25 May 2018
- Record last updated
- 25 May 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.