MELISSA JEAN HEAVIRLAND

TUSTIN, CA
NPI1316767114
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA65225)
Enumeration Date2024-10-15
Last Update Date2024-10-15
Business Address
MELISSA JEAN HEAVIRLAND PA-C
17612 17TH ST STE 101
TUSTIN, CA 92780-1962
Phone number: 714-243-5450
Mailing Address
MELISSA JEAN HEAVIRLAND PA-C
33 TUMBLEWEED ST
TRABUCO CANYON, CA 92679-5318
Phone number: