Axle Maria Rafaelle Dimayuga Untalan
ActiveCalifornia 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
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
5125 Skyway
Paradise, CA 95969-5624
Paradise, CA 95969-5624
Butte County