RANDALL JOSEPH PUNU POBLETE

FAIRFIELD, CA
NPI1700225174
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA23021)
Enumeration Date2013-06-19
Last Update Date2013-12-02
Business Address
Mr. RANDALL JOSEPH PUNU POBLETE MSPAS, MPH, PA-C
275 BECK AVE
FAIRFIELD, CA 94533-6804
Phone number: 707-784-2028
Mailing Address
Mr. RANDALL JOSEPH PUNU POBLETE MSPAS, MPH, PA-C
275 BECK AVE PO BOX 4090 MS-5-240
FAIRFIELD, CA 94533-6804
Phone number: 707-784-2028