Individual
DANA BOUTROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
289 W HUNTINGTON DR STE 103, ARCADIA, CA 91007-3492
(626) 821-0707
Mailing address
309 E 2ND ST, POMONA, CA 91766-1854
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/30/2017
Last updated
10/27/2018
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