Individual
MELANIE B VANDER BURGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMA
Contact information
Practice address
2204 PACIFIC AVE N, LONG BEACH, WA 98631-3300
(360) 642-3787
(360) 642-2096
Mailing address
2204 PACIFIC AVE N, LONG BEACH, WA 98631-3300
(360) 642-3787
(360) 642-2096
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
60497560
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60497560
CERTIFIED MEDICAL ASSISTANT
WA
Enumeration date
11/19/2020
Last updated
11/19/2020
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