Individual
MELISSA EILEEN FITZGIBBON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
9550 CARMEL MOUNTAIN RD, SAN DIEGO, CA 92129-2799
(858) 484-1180
Mailing address
1259 CALLE ULTIMO, OCEANSIDE, CA 92056-5633
(760) 994-3820
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
13005003-4810
UT
2255A2300X
Athletic Trainer
Primary
RTO000553
PA
Other
Enumeration date
09/02/2020
Last updated
03/18/2023
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