Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Feb 15, 2011
License(s)
PA21593 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 751 S BASCOM AVE EMERGENCY ROOM | San Jose, CA 95128-2604 | 408-885-5000 |
| MAILING | 751 S BASCOM AVE EMERGENCY ROOM | San Jose, CA 95128-2604 | 408-885-5000 |
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