GETNET T HABTEWOLD

LOS ANGELES, CA
NPI1043417587
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: CA  PA16709)
Enumeration Date2007-06-28
Last Update Date2007-07-08
Business Address
-- GETNET T HABTEWOLD
12021 WILMINGTON AVE
LOS ANGELES, CA 90059-3019
Phone number: 310-668-4506
Mailing Address
-- GETNET T HABTEWOLD
6087 RISINGSTAR DR
CORONA, CA 92880-8871
Phone number: