TANISHA O PAYNE
Medical Practice at Royal St, Crestview, FL

License number
Florida 44268
Issued Date
Feb 16, 2012
Effective Date
Feb 16, 2012
Expiration Date
Aug 31, 2018
Category
Health Care
Type
Clinical Laboratory Personnel
Address
Address 2
5532 Royal St, Crestview, FL 32539
1005 Mar Walt Dr, Fort Walton Beach, FL 32547
Phone
(850) 533-7797
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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