Individual
MRS. SONJA CLAR MELITA MOELLEKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A3847231
CA
2085R0202X
Diagnostic Radiology Physician
Primary
A52411
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A524110
BC/BS OF CA
CA
05
—
1114976578
—
CA
Enumeration date
05/10/2006
Last updated
08/03/2015
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