Grant Edward Nybakken
ActiveCalifornia license A120789
License
- Licensed by
- Medical Board of California
- License number
- A120789
- Status
- Active (Current)
- First issued
- April 4, 2012
- Expires
- April 30, 2028
- License holder
- Grant Edward Nybakken
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
Ppmg
383 East Grand Avenue
South San Francisco, CA 94080
383 East Grand Avenue
South San Francisco, CA 94080
San Mateo County