WANDA K TIVEY
Medical Practice at Chokeberry Rd, Middleburg, FL

License number
Florida 520702
Issued Date
Jan 17, 2008
Effective Date
Jun 17, 2009
Expiration Date
Dec 1, 2008
Category
Health Care
Type
Emergency Medical Technician
Address
Address
4274 Chokeberry Rd, Middleburg, FL 32068
Phone
(904) 254-4671
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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