Denise Provost
ActiveCalifornia license A81016
License
- Licensed by
- Medical Board of California
- License number
- A81016
- Status
- Active (Current)
- First issued
- November 1, 2002
- Expires
- November 30, 2026
- License holder
- Denise Provost
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
935 Sandpiper Lane
Palo Alto, CA 94303
Palo Alto, CA 94303
Santa Clara County