Individual
MS. MELODY KOPISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
100 CASA ST, SUITE B, SAN LUIS OBISPO, CA 93405-1883
(805) 544-8811
(805) 544-8997
Mailing address
100 CASA ST, SUITE B, SAN LUIS OBISPO, CA 93405-1883
(805) 544-8811
(805) 548-0777
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
2278
CA
Other
Enumeration date
07/21/2006
Last updated
04/07/2010
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