The holder whose full name is Escobar, Mauricio Antonio,come from TACOMA WA,hold the Physician license(NO.01056992A) which status is Active.
| Name | Escobar, Mauricio Antonio |
|---|---|
| License Number | 01056992A |
| License Type | Physician |
| License Status | Active |
| City | TACOMA |
| State | WA |