MIKHAIL WENUTU FRASER-GRAY

TULARE, CA
NPI1760648117
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  19766)
Enumeration Date2008-08-05
Last Update Date2021-12-06
Business Address
-- MIKHAIL WENUTU FRASER-GRAY PA-C
869 N CHERRY ST
TULARE, CA 93274-2207
Phone number: 559-688-0821
Mailing Address
-- MIKHAIL WENUTU FRASER-GRAY PA-C
111 N SEPULVEDA BLVD SUITE 210
MANHATTAN BEACH, CA 90266-6861
Phone number: 310-379-2134