Individual
MELINDA ASHLEY KACZMAREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1975 4TH ST, SAN FRANCISCO, CA 94143-2351
(415) 476-1000
Mailing address
1522 BLEECKER ST., MILPITAS, CA 95035-9063
(740) 602-0506
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
95026027
CA
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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