Registry details
Type
Individual
Primary specialty
Anesthesiology, Pain Medicine
Enumerated
Jun 22, 2012
License(s)
ME143275 (FL), 80330 (GA), A126641 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 300 E BELLEVUE DR APT 304 | Pasadena, CA 91101-3106 | 951-809-1323 |
| LOCATION | 215 N MARENGO AVE STE 115 | Pasadena, CA 91101-1560 | 626-514-1188 |
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