BOUNKHONG PHOUTTAVONG
Nursing at 14 St, Saint Petersburg, FL

License number
Florida 305996
Issued Date
Sep 15, 2014
Effective Date
Sep 15, 2014
Expiration Date
May 31, 2019
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
6906 14Th St N, Saint Petersburg, FL 33702
Phone
(386) 307-8311
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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