Dominique Lucienne Mall
ActiveCalifornia license A86680
License
- Licensed by
- Medical Board of California
- License number
- A86680
- Status
- Active (Current)
- First issued
- April 8, 2004
- Expires
- June 30, 2027
- License holder
- Dominique Lucienne Mall
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
12675 Hesperia Rd
Victorville, CA 92395-5878
Victorville, CA 92395-5878
San Bernardino County