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JEFFREY A MELLO PAC

Surgery Yellow Pages

Sacramento, California

Provider NPI: 1245239201

Provider Information:
 JEFFREY A MELLO PAC


Practice Location:
5301 F ST SUITE 111 SACRAMENTO, CA 95819 US
Tel: 916-452-8291  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363AS0400XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Surgical
CA16836
N363AS0400XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
TXPA03053

Other Provider Identifiers:

IssuerNumberStateType
GR0046820CA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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