ELYSIA N VIENGKHAM
Medical Practice at Louise Rd, Umatilla, FL

License number
Florida 521144
Issued Date
Mar 10, 2008
Effective Date
Nov 3, 2016
Expiration Date
Dec 1, 2018
Category
Health Care
Type
Emergency Medical Technician
Address
Address
40841 Louise Rd, Umatilla, FL 32784
Phone
(407) 346-7638
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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