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Individual

MRS. JENNIFER LYNN MELVIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LVN

Contact information

Practice address
2340 MOSSY BANK DR, APT #3, SACRAMENTO, CA 95833-2352
(916) 646-6645
Mailing address
2340 MOSSY BANK DR, APT #3, SACRAMENTO, CA 95833-2352
(916) 646-6645

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN176267
CA

Other

Enumeration date
04/14/2009
Last updated
04/14/2009
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