Individual
MELISSA VANOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2801 K ST STE 220, SACRAMENTO, CA 95816-5118
(916) 887-4220
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A134338
CA
2086S0120X
Pediatric Surgery Physician
Primary
A134338
CA
Other
Enumeration date
08/23/2013
Last updated
12/05/2023
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