License Directory

Rodolfo A Trivisonno

Active

California license A63356

License

Licensed by
Medical Board of California
License number
A63356
Status
Active (Current)
First issued
August 22, 1997
Expires
August 31, 2027
License holder
Rodolfo A Trivisonno
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

319 119th Drive SE
Lake Stevens, WA 98258
Snohomish County