TARA M JOHNSON
Physician Assistant at Patrick Ave, Grand Bay, AL

License number
Florida 9104291
Issued Date
Aug 20, 2007
Effective Date
Feb 14, 2012
Expiration Date
Jan 31, 2010
Category
Health Care
Type
Physician Assistant
Address
Address 2
10545 Patrick Ave, Grand Bay, AL 36541
17900 NW 5Th St SUITE 202, Hollywood, FL 33029
Phone
(251) 454-1755
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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