ETHELENE W STARK
Nursing at Ln Costa Ln, Daytona Beach, FL

License number
Florida 942112
Issued Date
Oct 3, 1977
Effective Date
Jan 1, 1901
Expiration Date
Apr 30, 2018
Category
Health Care
Type
Registered Nurse
Address
Address
112 Lacosta Ln #215, Daytona Beach, FL 32114
Phone
(386) 274-4724