Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Dec 16, 2009
License(s)
PA18759 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 2550 NORTH HOLLYWOOD WAY SUITE 204 | Burbank, CA 91505-5040 | 818-557-0135 |
| LOCATION | 1225 WILSHIRE BLVD | Los Angeles, CA 90017-1901 | 213-977-2048 |
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