BASTOR B CARLOS
Nursing at Cypress Ave, Melbourne, FL

License number
Florida 9078
Issued Date
Nov 17, 2003
Effective Date
Aug 22, 2006
Expiration Date
Dec 31, 2005
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
1661 Cypress Ave, Melbourne, FL 32935
Phone
(321) 751-2401
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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