DIANE L BASIL
Nursing at Kiwi Pl, Ellenton, FL

License number
Florida 646231
Issued Date
Mar 1, 1982
Effective Date
Jan 1, 1901
Expiration Date
Jul 31, 2017
Category
Health Care
Type
Licensed Practical Nurse
Address
Address
3026 Kiwi Pl, Ellenton, FL 34222
Phone
(941) 224-6827