Provider Demographics
NPI:1578103941
Name:MELCHOR, ERICA F
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:F
Last Name:MELCHOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1531 BUTTE HOUSE RD STE A
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95993-2241
Mailing Address - Country:US
Mailing Address - Phone:530-822-7505
Mailing Address - Fax:530-822-7508
Practice Address - Street 1:1531 BUTTE HOUSE RD STE A
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95993-2241
Practice Address - Country:US
Practice Address - Phone:530-822-7505
Practice Address - Fax:530-822-7508
Is Sole Proprietor?:No
Enumeration Date:2020-01-13
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator