MELISSA JOYANN FORTNER

SAN DIEGO, CA
NPI1972584209
Former NameMELISSA JOYANN WILENSKY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CA  PA15119)
Enumeration Date2005-11-14
Last Update Date2007-07-08
Business Address
Mrs. MELISSA JOYANN FORTNER PAC
4290 POLK AVE
SAN DIEGO, CA 92105-1524
Phone number: 619-563-0507
Mailing Address
Mrs. MELISSA JOYANN FORTNER PAC
4290 POLK AVE
SAN DIEGO, CA 92105-1524
Phone number: 619-563-0507
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