Melissa Province Bennett
ActiveCalifornia license A92274
License
- Licensed by
- Medical Board of California
- License number
- A92274
- Status
- Active (Current)
- First issued
- July 27, 2005
- Expires
- October 31, 2028
- License holder
- Melissa Province Bennett
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
4405 Vandever Ave
San Diego, CA 92120-3315
San Diego, CA 92120-3315
San Diego County