Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
Mar 23, 2018
License(s)
68838 (TN)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 200 W ARBOR DR # 8770 | San Diego, CA 92103-1911 | 619-260-7220 |
| MAILING | 2337 33RD ST | Lubbock, TX 79411-1629 |
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