Individual
MELINDA COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
8881 FLETCHER PKWY STE 205, LA MESA, CA 91942-3187
(619) 464-6434
(619) 464-5109
Mailing address
8881 FLETCHER PKWY STE 205, LA MESA, CA 91942-3187
(619) 464-6434
(619) 464-5109
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
19752
CA
Other
Enumeration date
12/17/2010
Last updated
04/15/2025
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