Individual
MELINDA RUTH VANCE TRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
4748 ENGLE RD STE 107, CARMICHAEL, CA 95608-2232
(916) 482-2273
(916) 974-2936
Mailing address
4748 ENGLE RD STE 107, CARMICHAEL, CA 95608-2232
(916) 482-2273
(916) 974-2936
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU1245
CA
237700000X
Hearing Instrument Specialist
HA2740
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171689100
DEPT OF LABOR
CA
01
—
640003571
RAILROAD MEDICARE
CA
05
—
AU0001245
—
CA
01
—
ZZZ54183Z
BLUE SHIELD
CA
01
—
ZZZ56178Z
BLUE SHIELD
CA
Enumeration date
01/29/2007
Last updated
02/16/2024
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