| Doctor Name: | MS. MELODY BOSKUIL KONG-NDOUMBE |
| NPI Number: | 1306094834 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BSN |
| License Number: | 132473-030 |
| Business Practice Address: | 4th St. And G Avenue, Weed Army Community Hospital Building 166, Room 414, Attn: Credentials Office Fort Irwin, CA - 923105109 |
| Business Phone Number: | 7603806293 |
| Business Fax Number: | |
| Mailing Address: | 8407 Remagen St Apt B, FORT IRWIN |
| State: | CA |
| Postal Code: | 923102467 |
| Phone Number: | 2623542468 |
| Fax Number: | |
| NPI Enumeration Date: | 09/09/2008 |
| NPI Last Update Date: | 09/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WM0102X |
| License Number: | 132473-030 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Maternal Newborn |
| Taxonomy Definition: | |