MARA WAXENBAUM
Medical Practice at West Shr Blvd, Tampa, FL

License number

Florida 547173

Issued Date

Oct 7, 2014

Effective Date

Dec 2, 2016

Expiration Date

Dec 1, 2016

Category

Health Care

Type

Emergency Medical Technician

Address

Address

4800 S West Shore Blvd APT #201, Tampa, FL 33611

Phone

(813) 679-4333

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