CHARMELENE J CHANTHABOUASITH
Physician Assistant at 95 St, Largo, FL

License number
Florida 9108932
Issued Date
Sep 1, 2015
Effective Date
Oct 5, 2015
Expiration Date
Jan 31, 2018
Category
Health Care
Type
Physician Assistant
Address
Address 2
9977 95Th St N, Largo, FL 33777
4278 W Linebaugh Ave, Tampa, FL 33624
Phone
(727) 612-5084
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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