GRACE X BALLARD
Nursing at Pegaso Ave, New Smyrna, FL

License number
Florida 5177060
Issued Date
Apr 25, 2007
Effective Date
Apr 25, 2007
Expiration Date
Jul 31, 2017
Category
Health Care
Type
Licensed Practical Nurse
Address
Address
3454 Pegaso Ave, New Smyrna, FL 32168
Phone
(386) 675-3055
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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