Registry details
Type
Organization
Primary specialty
Internal Medicine
Enumerated
Sep 17, 2010
License(s)
G4721 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 3897 VIA PALO VERDE LAGO | Alpine, CA 91901-3215 | 619-659-9555 |
| LOCATION | 3897 VIA PALO VERDE LAGO | Alpine, CA 91901-3215 | 619-659-9555 |
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