MELISSA THEPVONGSA

CHULA VISTA, CA
NPI1750964425
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  59540)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2021-04-30
Last Update Date2021-12-22
Business Address
MELISSA THEPVONGSA
765 MEDICAL CENTER CT
CHULA VISTA, CA 91911-6600
Phone number: 619-616-2100
Mailing Address
MELISSA THEPVONGSA
765 MEDICAL CENTER CT
CHULA VISTA, CA 91911-6600
Phone number: 619-616-2100
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