ALVIN ELLENWOOD, JR
Nursing at Avento Pl, New Port Richey, FL

License number
Florida 539951
Issued Date
Dec 3, 1979
Effective Date
Aug 21, 2015
Expiration Date
Jul 31, 2015
Category
Health Care
Type
Licensed Practical Nurse
Address
Address 2
10883 Avento Pl BUILDING 16 APARTMENT 207, New Port Richey, FL 34655
14000 Fivay Rd, Port Richey, FL 34667
Phone
(727) 376-3929
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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