PAUL JEAN LOO DWIGHT

SAN LEANDRO, CA
NPI1083288914
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA61852)
Enumeration Date2021-05-15
Last Update Date2026-09-01
Business Address
PAUL JEAN LOO DWIGHT
201 DOLORES AVE
SAN LEANDRO, CA 94577-5007
Phone number: 510-984-2489
Mailing Address
PAUL JEAN LOO DWIGHT
201 DOLORES AVE
SAN LEANDRO, CA 94577-5007
Phone number: 510-984-2489