Search › California › 302R00000X
Melissa Licea
NPI 1619897345 · on the registry since 2026 · sole proprietor
Practice
- Address
- 4382 Wright Brothers St
Jurupa Valley, CA 92509 - Phone
- (951) 703-5355
Registry record
- Primary taxonomy
- 302R00000X
302R00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California