Registry details
Type
Individual
Primary specialty
Anesthesiology, Pain Medicine
Enumerated
Jul 2, 2006
License(s)
A51286 (CA), A51286 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 725 | Bayside, CA 95524-0725 | 707-822-7220 |
| LOCATION | 3800 JANES RD | Arcata, CA 95521-4742 | 707-822-3621 |
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