Louisiana
Board of Licensing
FUKUDA JUAN MANUEL
Medical
License number
MD.14374r
Date expires
05/31/2015
Class
Medical
Status
Active
Address
PEDIATRIC EM DEPT, 4600 AMBASSADOR CFFY PKWY, LAFAYETTE, LA 70598
louisianalicensing.com
ID 21910713
LAST UPDATED 2024-03-14 11:43:09 UTC
LAST UPDATED 2024-03-14 11:43:09 UTC