CARL E NISHIYAMA
Medical Practice at Shetter Ave, Jacksonville, FL

License number
Florida 536692
Issued Date
Aug 23, 2011
Effective Date
Jul 6, 2015
Expiration Date
Dec 1, 2014
Category
Health Care
Type
Emergency Medical Technician
Address
Address
1300 Shetter Ave APT 2301, Jacksonville, FL 32250
Phone
(904) 349-6839
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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