MAY ROSE VILLASIN KURNIAWAN

GLENDALE, CA
NPI1609096742
Former NameMAY ROSE ABLAO VILLASIN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  17543)
Enumeration Date2007-04-30
Last Update Date2007-07-08
Business Address
Mrs. MAY ROSE VILLASIN KURNIAWAN PAC
225 W BROADWAY SUITE 100
GLENDALE, CA 91204-1331
Phone number: 888-727-1771
Mailing Address
Mrs. MAY ROSE VILLASIN KURNIAWAN PAC
3038 SUNNY BROOK LN
CHINO HILLS, CA 91709-1492
Phone number: 909-464-0558
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