Individual
MELISSA WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
757 WESTWOOD PLZ, LOS ANGELES, CA 90095-3901
(310) 825-9111
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 948-1646
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95021022
CA
Other
Enumeration date
07/20/2022
Last updated
12/14/2022
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