BLAKE W WYSOCKI
Nursing at Vlg Dr, Ormond Beach, FL

License number
Florida 221162
Issued Date
Jul 23, 2010
Effective Date
Jan 14, 2014
Expiration Date
May 31, 2018
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
54 Village Dr, Ormond Beach, FL 32174
Phone
(386) 631-7676
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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