CRAIG JOHN CARBONNIERE

LAKEWOOD, CA
NPI1063578110
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA10492)
Enumeration Date2006-12-30
Last Update Date2015-07-15
Business Address
Mr. CRAIG JOHN CARBONNIERE P.A.
5203 LAKEWOOD BLVD
LAKEWOOD, CA 90712-2438
Phone number: 562-633-2273
Mailing Address
Mr. CRAIG JOHN CARBONNIERE P.A.
7692 ELLIS AVE
HUNTINGTON BEACH, CA 92648-1635
Phone number: 909-217-4321