Registry details
Type
Individual
Primary specialty
Dermatology
Enumerated
Apr 13, 2015
License(s)
A161035 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1 FORD PL STE 2E | Detroit, MI 48202-3450 | 800-653-6568 |
| LOCATION | 9898 GENESEE AVE | La Jolla, CA 92037-1205 | 858-824-5434 |
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