ANTONE BRISENO

MCCLOUD, CA
NPI1083800742
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA17420)
Enumeration Date2007-09-17
Last Update Date2017-08-10
Business Address
-- ANTONE BRISENO PA
116 WEST MINNESOTA AVE
MCCLOUD, CA 96057-1143
Phone number: 530-964-2389
Mailing Address
-- ANTONE BRISENO PA
75-5751 KUAKINI HWY STE 203
KAILUA KONA, HI 96740-1753
Phone number: 808-326-3891