DERRICKER N BLAKE
Nursing at 17 Ln, Miami, FL

License number
Florida 191317
Issued Date
Jun 24, 2009
Effective Date
Jan 16, 2015
Expiration Date
Dec 31, 2012
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
14921 SW 17Th Ln, Miami, FL 33185
Phone
(407) 715-1700
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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