AUDREY M THACKER
Medical Practice at Fortuna Ave, San Diego, CA

License number
Florida 46793
Issued Date
Jan 14, 2015
Effective Date
Jan 14, 2015
Expiration Date
Aug 31, 2018
Category
Health Care
Type
Clinical Laboratory Personnel
Address
Address
1720 Fortuna Ave, San Diego, CA 92109
Phone
(434) 221-8783
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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