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California license 556428

License

Licensed by
Medical Board of California
License number
556428
Status
Active (Current)
First issued
September 19, 2023
Expires
September 30, 2027
Entity type
Organization

Classifications

More from the license record

License type code
8008

Contact

1210 Hamner Ave # 1033
Norco, CA 92860-3117
Riverside County