Individual
MELANIE J BULIYAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 816-5610
Mailing address
2433 HANCOCK DR, FAIRFIELD, CA 94533-1561
(707) 816-5610
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
691007
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
691007
RN LICENSE
CA
Enumeration date
05/08/2019
Last updated
05/08/2019
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