MICHELLE LAKSANA

FONTANA, CA
NPI1851709414
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  51795)
Enumeration Date2014-07-28
Last Update Date2017-09-07
Business Address
-- MICHELLE LAKSANA PA-C
16465 SIERRA LAKES PKWY STE. 300
FONTANA, CA 92336-1242
Phone number: 909-429-2864
Mailing Address
-- MICHELLE LAKSANA PA-C
16465 SIERRA LAKES PKWY STE. 300
FONTANA, CA 92336-1242
Phone number: 909-429-2864
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