MEDICARE: MELISSA ASHLEY SAENZ

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	:	1558149369
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA ASHLEY SAENZ

Provider Business Mailing Address
First Line	:	313 S WATERMAN AVE
Second Line	:
City	:	EL CENTRO
State	:	CA
Zip	:	92243-2215
Country	:	US
Telephone Number	:	442-265-1525
Fax Number	:

Provider Business Practice Location Address
First Line	:	313 S WATERMAN AVE
Second Line	:
City	:	EL CENTRO
State	:	CA
Zip	:	92243-2215
Country	:	US
Telephone Number	:	442-265-1525
Fax Number	:

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

Provider Enumeration Date	:	09/21/2023
Last Update Date	:	09/21/2023

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Directions to “ MELISSA ASHLEY SAENZ ” Practice Location

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