MA A CUSTODIO
Medical Practice at Ellison Dr, San Antonio, TX

License number
Florida 28609
Issued Date
Sep 5, 1989
Effective Date
Nov 2, 2006
Expiration Date
Aug 31, 2004
Category
Health Care
Type
Clinical Laboratory Personnel
Address
Address
1915 S Ellison Dr, San Antonio, TX 78245
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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