MARIENIDA BOEHN PATAM

SAN CLEMENTE, CA
NPI1528224573
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA19828)
Enumeration Date2008-07-30
Last Update Date2017-09-12
Business Address
-- MARIENIDA BOEHN PATAM PA-C
724 S EL CAMINO REAL
SAN CLEMENTE, CA 92672-4250
Phone number: 949-493-6113
Mailing Address
-- MARIENIDA BOEHN PATAM PA-C
11 TECHNOLOGY DR
IRVINE, CA 92618-2302
Phone number: 949-923-3277
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