Individual
JEFFREY A MELLO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
5301 F ST, SUITE 111, SACRAMENTO, CA 95819-3226
(916) 452-8291
(916) 452-1733
Mailing address
5301 F ST, SUITE 111, SACRAMENTO, CA 95819-3226
(916) 452-8291
(916) 452-1733
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
16836
CA
363AS0400X
Surgical Physician Assistant
PA03053
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0046820
—
CA
Enumeration date
07/20/2005
Last updated
07/08/2007
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