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1205878493
MELIA FORMENTO
SACRAMENTO, CA
NPI
1205878493
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Former Name
MELIA HAYASHI
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 726016)
Enumeration Date
2006-06-12
Last Update Date
2019-05-21
Business Address
Ms. MELIA FORMENTO APRN
3030 EXPLORER DR
SACRAMENTO, CA 95827-2728
Phone number: 916-642-1885
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Mailing Address
Ms. MELIA FORMENTO APRN
3030 EXPLORER DR
SACRAMENTO, CA 95827-2728
Phone number: 916-642-1885
Copy
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