LAN DO

CHINO, CA
NPI1609065705
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  17294)
Enumeration Date2007-10-15
Last Update Date2007-10-15
Business Address
-- LAN DO
14726 RAMONA AVE
CHINO, CA 91710-5730
Phone number: 909-628-6011
Mailing Address
-- LAN DO
8 VIA DE LA VALLE
LAKE ELSINORE, CA 92532-0126
Phone number: