Individual
MELODIE HIXSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
78505 AVENUE 52, LA QUINTA, CA 92253-2802
(858) 218-5278
Mailing address
49865 RANCHO SAN JULIAN, LA QUINTA, CA 92253-8452
(858) 218-5278
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
120602604
CA
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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