MELISSA PROVOST

SAN DIEGO, CA
NPI1417491028
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: CA  95354662)
Enumeration Date2016-12-15
Last Update Date2026-02-03
Business Address
MELISSA PROVOST
545 LAUREL ST
SAN DIEGO, CA 92101-1634
Phone number: 619-233-4399
Mailing Address
MELISSA PROVOST
545 LAUREL ST
SAN DIEGO, CA 92101-1634
Phone number: 619-233-4399
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