Individual
MRS. MEGAN MICHELLE VANDERLAAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3660 STATE HIGHWAY 132, COULTERVILLE, CA 95311-9722
(209) 347-3271
Mailing address
3660 STATE HIGHWAY 132, COULTERVILLE, CA 95311-9722
(209) 347-3271
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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