License Directory

Axle Maria Rafaelle Dimayuga Untalan

Active

California license A200859

License

Licensed by
Medical Board of California
License number
A200859
Status
Active (Current)
First issued
January 27, 2025
Expires
March 31, 2027
License holder
Axle Maria Rafaelle Dimayuga Untalan
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

5125 Skyway
Paradise, CA 95969-5624
Butte County