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Individual
MELISSA BURNEY VLADIMIROV
Active
Individual
MELISSA BURNEY VLADIMIROV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA066615
PA
363A00000X
Physician Assistant
Primary
PA58612
CA
363AM0700X
Medical Physician Assistant
PA58612
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA58612
CALIFORNIA PHYSICIAN ASSISTANT BOARD
CA
Enumeration date
06/22/2020
Last updated
07/23/2026
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