Individual
DR. MELISSA DANIELLE KANACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7920 FROST ST STE 200, SAN DIEGO, CA 92123-4289
(858) 966-4013
Mailing address
3020 CHILDRENS WAY # MC5003, SAN DIEGO, CA 92123-4223
(858) 309-6300
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
287354
MA
208200000X
Plastic Surgery Physician
Primary
A144388
CA
Other
Enumeration date
04/09/2015
Last updated
06/24/2022
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