Individual
MELINDA WANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1441 FLORIDA AVE, MODESTO, CA 95350-4404
(209) 578-1211
Mailing address
753 TERN DR, LATHROP, CA 95330-8044
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95002091
CA
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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