MEDICARE: SARAH BOYLES-MUEHLECK MPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1427804939
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH BOYLES-MUEHLECK MPH

Provider Business Mailing Address
First Line	:	4610 X ST
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95817-2200
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2426 P ST APT 10
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95816-6276
Country	:	US
Telephone Number	:	530-220-2956
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2024
Last Update Date	:	04/25/2024

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