Utah
Division of Occupational and Professional Licensing
TANYA JENEE BACA
Physician - Physician & Surgeon
License number
8974252-1205
Date granted
03/18/2014
Date expires
01/31/2016
Class
Physician - Physician & Surgeon
Status
Active
Address
PAWTUCKET, RI 02860
utahlicensing.org
ID 29935629
LAST UPDATED 2024-03-15 00:26:35 UTC
LAST UPDATED 2024-03-15 00:26:35 UTC
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