DEBRA A BLOOM
Nursing at Boardwalk Dr, Ponte Vedra, FL

License number
Florida 1278211
Issued Date
Jul 30, 1997
Effective Date
Aug 13, 2001
Expiration Date
Jul 31, 1999
Category
Health Care
Type
Licensed Practical Nurse
Address
Address
605 Boardwalk Dr APT 314, Ponte Vedra, FL 32082