Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Aug 10, 2009
License(s)
A112196 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 4316 SLAUSON AVE | Maywood, CA 90270-2838 | 323-771-9867 |
| MAILING | 1441 HIGHLAND AVE | Glendale, CA 91202-1405 | 818-317-4767 |
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