Registry details
Type
Individual
Primary specialty
Internal Medicine, Adolescent Medicine
Enumerated
Sep 28, 2006
License(s)
A29922 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 1178 1004 14TH AVE | Delano, CA 93215 | 661-725-5676 |
| LOCATION | 1004 14TH AVE | Delano, CA 93215 | 661-725-5676 |
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