TARA S WALL
Medical Practice at 110 Ln, Miami, FL

License number
Florida 511249
Issued Date
Oct 5, 2005
Effective Date
Jun 17, 2009
Expiration Date
Dec 1, 2008
Category
Health Care
Type
Emergency Medical Technician
Address
Address
11401 SW 110Th Ln, Miami, FL 33176