GUSTAVO MARIO ROLDAN

SOUTH GATE, CA
NPI1790720381
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA17277)
Enumeration Date2006-06-18
Last Update Date2007-07-08
Business Address
-- GUSTAVO MARIO ROLDAN PAC
3221 LIBERTY BLVD
SOUTH GATE, CA 90280-2315
Phone number: 323-566-9171
Mailing Address
-- GUSTAVO MARIO ROLDAN PAC
3221 LIBERTY BLVD
SOUTH GATE, CA 90280-2315
Phone number: 323-566-9171
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