CLAVTON G BLAKE
Nursing at Wheaton Trent Pl, Tampa, FL

License number
Florida 156398
Issued Date
Sep 27, 2007
Effective Date
Jan 23, 2012
Expiration Date
Dec 31, 2009
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
613 Wheaton Trent Pl, Tampa, FL 33619
Phone
(813) 263-4929
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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