BOUAKHAM C PHANLAK
Nursing at Mango Bay Dr, Riverview, FL

License number
Florida 157653
Issued Date
Oct 22, 2007
Effective Date
Oct 22, 2007
Expiration Date
May 31, 2018
Category
Health Care
Type
Certified Nursing Assistant
Address
Address 2
13514 Mango Bay Dr, Riverview, FL 33579
4016 Sun City Center Plz, Ruskin, FL 33573
Phone
(401) 767-7017
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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