LANI DOMINGO ANTONIO

MODESTO, CA
NPI1467726380
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA22113)
Enumeration Date2012-02-24
Last Update Date2013-11-25
Business Address
Mr. LANI DOMINGO ANTONIO PA
200 E HACKETT RD
MODESTO, CA 95358-9415
Phone number: 831-801-7110
Mailing Address
Mr. LANI DOMINGO ANTONIO PA
200 E HACKETT RD
MODESTO, CA 95358-9415
Phone number: 831-801-7110
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