Mark Theodore Fahlen
ActiveCalifornia license A81212
License
- Licensed by
- Medical Board of California
- License number
- A81212
- Status
- Active (Current)
- First issued
- November 22, 2002
- Expires
- August 31, 2028
- License holder
- Mark Theodore Fahlen
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
1400 Florida Ave Ste 109
Modesto, CA 95350
Modesto, CA 95350
Stanislaus County