Individual
MELISSA PAM SIRICHOTIRATANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3629 VISTA WAY, OCEANSIDE, CA 92056-4522
(760) 757-7546
(760) 828-9138
Mailing address
3629 VISTA WAY, OCEANSIDE, CA 92056-4522
(760) 757-7546
(760) 828-9138
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A137981
CA
Other
Enumeration date
06/30/2011
Last updated
01/06/2016
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