Alex Pavidapha
ActiveMichigan license EMC0004570
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- EMC0004570
- Status
- Active
- First issued
- January 23, 2024
- Expires
- January 23, 2027
- License holder
- Alex Pavidapha
- Entity type
- Individual
Classifications
- Expedited Compact (Health) Other Health Care
Contact
6517 Langford Ct
Clarksville, MD 21029
Clarksville, MD 21029