CLAUDETTE I TACKETT
Nursing at Nova Rd, Daytona Beach, FL

License number
Florida 1021842
Issued Date
Sep 11, 1978
Effective Date
Sep 19, 2016
Expiration Date
Jul 31, 2016
Category
Health Care
Type
Registered Nurse
Address
Address
1801 Nova Rd SUITE 110, Daytona Beach, FL 32119
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Claudette J Tackett, age 72
69 Alamanda Dr, Ormond Beach, FL 32176

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