Individual
MELISSA WALGAMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2450 SISTER MARY COLUMBA DR, RED BLUFF, CA 96080-4356
(530) 527-0414
(530) 252-7372
Mailing address
2450 SISTER MARY COLUMBA DR, RED BLUFF, CA 96080-4356
(530) 527-0414
(530) 252-7372
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA22921
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA22921
—
CA
Enumeration date
05/06/2013
Last updated
05/27/2015
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