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Active

California license 558551

License

Licensed by
Medical Board of California
License number
558551
Status
Active (Current)
First issued
December 5, 2024
Expires
December 31, 2026
Entity type
Organization

Classifications

More from the license record

License type code
8008

Contact

5065 Deer Valley Rd Ste 225
Antioch, CA 94531-5202
Contra Costa County