Provider Demographics
NPI:1720307077
Name:HALL-WILKINS, MELISSA NICOLE (DVM)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:NICOLE
Last Name:HALL-WILKINS
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2965 EDINGER AVE
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-7256
Mailing Address - Country:US
Mailing Address - Phone:949-936-0066
Mailing Address - Fax:949-936-0071
Practice Address - Street 1:2965 EDINGER AVE
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-7256
Practice Address - Country:US
Practice Address - Phone:949-936-0066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-26
Last Update Date:2010-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16439174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian