Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Feb 15, 2008
License(s)
PA19707 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 10666 N TORREY PINES RD | La Jolla, CA 92037 | 858-554-7988 |
| MAILING | 10790 RANCHO BERNARDO RD | San Diego, CA 92127-5705 | 858-554-7940 |
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