Individual
MELANIE JANE RUESCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28452 SKY HAWK LN, SHINGLETOWN, CA 96088-9407
(530) 474-4715
Mailing address
28452 SKY HAWK LN, SHINGLETOWN, CA 96088-9407
(530) 474-4715
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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