License Directory

Mary Anne Tan Laxa

Active

California license A76409

License

Licensed by
Medical Board of California
License number
A76409
Status
Active (Current)
First issued
August 31, 2001
Expires
December 31, 2026
License holder
Mary Anne Tan Laxa
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

3951 W Stetson Ave Ste A
Hemet, CA 92545-9683
Riverside County