DIANE E FORT
Nursing at Old Kings Rd, Jacksonville, FL

License number
Florida 31366
Issued Date
Mar 17, 2005
Effective Date
Jan 11, 2010
Expiration Date
May 31, 2018
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
8300 Old Kings Rd S APT 100, Jacksonville, FL 32217
Phone
(904) 535-5216
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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