Mark Henry Coronel Bouffard IV
ActiveCalifornia license A89206
License
- Licensed by
- Medical Board of California
- License number
- A89206
- Status
- Active (Current)
- First issued
- October 29, 2004
- Expires
- June 30, 2028
- License holder
- Mark Henry Coronel Bouffard IV
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
PO Box 6720
La Quinta, CA 92248-6720
La Quinta, CA 92248-6720
Riverside County