ANSONTIA C LUEALLEN
Nursing at Wisconsin Ct, Crystal River, FL

License number
Florida 106122
Issued Date
Nov 3, 2001
Effective Date
Jan 17, 2014
Expiration Date
May 31, 2018
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
9469 W Wisconsin Ct APT 4, Crystal River, FL 34428
Phone
(352) 257-2685