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Melissa Hisako Reagan
Medical Physician Assistant in Fairfield, California
NPI 1225668205

Melissa Hisako Reagan is a Medical Physician Assistant based in Suisun City, CA and is specialized in Medical. Melissa Hisako Reagan practices in Fairfield, CA. The NPI Number for Melissa Hisako Reagan is 1225668205 and holds a License No. Z9T4J4S3 (California).

The current practice location address for Melissa Hisako Reagan is 1261 Travis Blvd Ste 100, Fairfield, CA and can be reached out via phone at 707-422-0543.

Location: 1261 Travis Blvd Ste 100, Fairfield, CA, 94585-1774
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225668205
Provider Name
Melissa Hisako Reagan
Credential
Provider Entity Type
Individual
Gender
Female
Address
1261 Travis Blvd Ste 100, Fairfield, CA, 94585-1774
Phone Number
707-422-0543
Fax Number
Provider Enumeration Date
01/18/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9885321 01 CA KAISER
institution
Provider Business Practice Location Address Details
Address
1261 Travis Blvd Ste 100
City
Fairfield
State
California
Zip
94533-4804
Phone Number
707-422-0543
Fax Number
person
Provider Business Mailing Address Details
Address
1261 Travis Blvd Ste 100
City
Fairfield
State
California
Zip
94533-4804
Phone Number
707-422-0543
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
Z9T4J4S3 (California)
Definition
Definition to come...
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