DIANA J FONSECA-PENA
Medical Practice at 13 St, Hollywood, FL

License number
Florida 39597
Issued Date
Dec 7, 2005
Effective Date
Sep 17, 2012
Expiration Date
Aug 31, 2010
Category
Health Care
Type
Clinical Laboratory Personnel
Address
Address 2
18018 SW 13Th St, Hollywood, FL 33029
700 W 83Rd St, Hialeah, FL 33014