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Organization

EL DORADO COUNTY PHF

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MELISSA L PROPHET (MENTAL HEALTH WORKER I)
(530) 621-6213
Entity
Organization

Contact information

Practice address
935B SPRING ST, PLACERVILLE, CA 95667-4523
(530) 621-6212
Mailing address
935B SPRING ST, PLACERVILLE, CA 95667-4523
(530) 621-6212

Taxonomy

Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
101Y00000X
CA

Other

Enumeration date
12/17/2012
Last updated
12/17/2012
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