SUPHONG TECHATHUVANAN
Medical Practice at Dl Ave, Tampa, FL

License number
Florida 33094
Issued Date
Aug 2, 1978
Effective Date
Dec 15, 1999
Expiration Date
Jan 31, 2000
Category
Health Care
Type
Medical Doctor
Address
Address 2
3612 W Dale Ave, Tampa, FL 33609
Gallup Indian Medical Ctr, Gallup, NM 87301
Phone
(813) 354-4014
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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