Alice Fasula
Nursing at Portsmouth Bay Ave, Ponte Vedra, FL

License number
Florida 9427094
Issued Date
Feb 18, 2016
Effective Date
Feb 18, 2016
Expiration Date
Apr 30, 2019
Category
Health Care
Type
Registered Nurse
Address
Address 2
466 Portsmouth Bay Ave, Ponte Vedra, FL 32081
40 Orange St, Saint Augustine, FL 32084
Phone
(904) 834-7282
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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