Diane Alice Demallie
ActiveCalifornia license A55982
License
- Licensed by
- Medical Board of California
- License number
- A55982
- Status
- Active (Current)
- First issued
- April 6, 2021
- Expires
- April 30, 2027
- License holder
- Diane Alice Demallie
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
PO Box 60793
Colorado Springs, CO 80960-0793
Colorado Springs, CO 80960-0793
El Paso County