HIMABALA GHANTA
Physician at 3 St, South Orange, NJ

License number
Florida 10851
Issued Date
Mar 8, 2007
Effective Date
Aug 18, 2011
Expiration Date
Jul 1, 2009
Category
Health Care
Type
Registration for Resident/HSE Physician
Address
Address 2
28 W 3Rd St, South Orange, NJ 07079
1475 N 12Th Ave, Miami, FL 33136
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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