Individual
MELISSA N HAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1275 LINCOLN AVE STE 13B, SAN JOSE, CA 95125-3063
(408) 852-3304
Mailing address
1275 LINCOLN AVE STE 13B, SAN JOSE, CA 95125-3063
(559) 355-7464
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95032292
CA
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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