The holder whose full name is Blevins, Kasina Jane,come from Twentynine Palms CA,hold the Physician license(NO.01062641A) which status is Active.
| Name | Blevins, Kasina Jane |
|---|---|
| License Number | 01062641A |
| License Type | Physician |
| License Status | Active |
| City | Twentynine Palms |
| State | CA |