DAVID J BANTA
Nursing at Dalbora Rd, Merritt Island, FL

License number
Florida 196429
Issued Date
Aug 24, 2009
Effective Date
Jan 15, 2013
Expiration Date
Dec 31, 2010
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
1555 Dalbora Rd, Merritt Island, FL 32953
Phone
(321) 427-0046