Registry details
Type
Individual
Primary specialty
Physician Assistant, Surgical
Enumerated
Jul 5, 2006
License(s)
PA15541 (CA), PA15541 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 2250 MORELLO AVE | Pleasant Hill, CA 94523-1860 | 925-287-1256 |
| MAILING | 2250 MORELLO AVE | Pleasant Hill, CA 94523-1860 |
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