Provider Demographics
NPI:1811508682
Name:NAVIA, MELINA C
Entity type:Individual
Prefix:
First Name:MELINA
Middle Name:C
Last Name:NAVIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31123 JANELLE LN
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:CA
Mailing Address - Zip Code:92596-8898
Mailing Address - Country:US
Mailing Address - Phone:619-980-8528
Mailing Address - Fax:
Practice Address - Street 1:31123 JANELLE LN
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:CA
Practice Address - Zip Code:92596-8898
Practice Address - Country:US
Practice Address - Phone:619-980-8528
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-13
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other