MELISSA HISAKO REAGAN

FAIRFIELD, CA
NPI1225668205
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: CA  Z9T4J4S3)
Enumeration Date2020-01-18
Last Update Date2020-01-18
Business Address
MELISSA HISAKO REAGAN
1261 TRAVIS BLVD STE 100
FAIRFIELD, CA 94533-4804
Phone number: 707-422-0543
Mailing Address
MELISSA HISAKO REAGAN
207 BRIDGEWATER CIR
SUISUN CITY, CA 94585-1774
Phone number: 707-389-6421
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