Gila Wildfire
ActiveCalifornia license A86112
License
- Licensed by
- Medical Board of California
- License number
- A86112
- Status
- Active (Current)
- First issued
- February 25, 2004
- Expires
- March 31, 2027
- License holder
- Gila Wildfire
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
2500 Alhambra Ave
Martinez, CA 94553-3156
Martinez, CA 94553-3156
Contra Costa County