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Individual

MR. JOSE ROBERTO MELENDRES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.N.

Contact information

Practice address
10196 COUNTRYSIDE WAY, SACRAMENTO, CA 95827-2463
(916) 476-1688
(916) 266-9423
Mailing address
10196 COUNTRYSIDE WAY, SACRAMENTO, CA 95827-2463
(916) 476-1688
(916) 266-9423

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN763451
CA
163WW0000X
Wound Care Registered Nurse
10221411
CA

Other

Enumeration date
11/02/2016
Last updated
11/02/2016
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