Individual
MELANIE ENGELHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6400 TUPELO DR, CITRUS HEIGHTS, CA 95621-1741
(916) 729-3098
Mailing address
1521 LA GUARDIA CIR, LINCOLN, CA 95648-9371
(916) 757-8870
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510267066
PYSCHICANS PLUS
—
Enumeration date
03/14/2018
Last updated
03/17/2018
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