License holder summary

Mixon Tarisha Renee is a Medical licensed to practice in Louisiana. The address on file for Mixon Tarisha Renee is 3401 North Blvd. Ste 200, Baton Rouge, LA 70806.

Louisiana

Board of Licensing

Mixon Tarisha Renee
Medical
License number
MD.205942
Date expires
02/28/2015
Class
Medical
Status
Active
Address
3401 North Blvd. Ste 200, Baton Rouge, LA 70806
louisianalicensing.com
ID 21946963
LAST UPDATED 2024-02-21 04:53:09 UTC

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