Individual
DR. MELVIN V MACOMBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
8789 AUBURN FOLSOM RD, PMB 316 SUITE C, GRANITE BAY, CA 95746-6287
(916) 652-7014
(916) 652-7014
Mailing address
8789 AUBURN FOLSOM RD, PMB 316 SUITE C, GRANITE BAY, CA 95746-6287
(916) 652-7014
(916) 652-7014
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
PSY10145
CA
Other
Enumeration date
07/10/2006
Last updated
05/13/2008
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