MARK E DOME

BALDWIN PARK, CA
NPI1265509004
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA13439)
Enumeration Date2006-11-29
Last Update Date2008-09-23
Business Address
MARK E DOME PA
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706-5806
Phone number: 626-851-1011
Mailing Address
MARK E DOME PA
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706-5806
Phone number: 626-851-1011