ELLARETHA J SMITH
Nursing at Wolf Pond Rd, Bascom, FL

License number
Florida 9211926
Issued Date
Jan 14, 2004
Effective Date
Jan 14, 2004
Expiration Date
Apr 30, 2019
Category
Health Care
Type
Registered Nurse
Address
Address 2
6246 Wolf Pond Rd, Bascom, FL 32423
502 W Highland Blvd, Inverness, FL 34452
Phone
(850) 394-8734
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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