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Active

California license 559345

License

Licensed by
Medical Board of California
License number
559345
Status
Active (Current)
First issued
May 1, 2025
Expires
May 31, 2027
Entity type
Organization

Classifications

More from the license record

License type code
8008

Contact

1815 Andrea Ln
Concord, CA 94519-1830
Contra Costa County