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Individual

MELISSA CAROL MATULICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4860 Y ST STE 2500, SACRAMENTO, CA 95817-2307
(916) 734-6900
Mailing address
4860 Y ST STE 2500, SACRAMENTO, CA 95817-2307
(916) 834-6900

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A148656
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
12/07/2011
Last updated
04/30/2017
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