ANGIE M EISEN
Nursing at Livingston Ave, Lutz, FL

License number
Florida 112667
Issued Date
Feb 23, 2005
Effective Date
Jan 21, 2010
Expiration Date
Dec 31, 2007
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
15215 Livingston Ave, Lutz, FL 33559
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Angie M Eisen, age 48
15215 Livingston Ave, Lutz, FL 33548
(813) 977-8355

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