Individual
MELISSA LAREE WILMARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
100 WILLOW PLZ, SUITE 201, VISALIA, CA 93291-6206
(559) 627-9284
(559) 713-0965
Mailing address
2817 REILLY ST, FORT BRAGG, NC 28310-7394
(910) 907-8333
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
235813
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0067850
—
CA
Enumeration date
10/13/2016
Last updated
06/02/2022
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