IDA D JORDAN
Nursing at Prancer Ln, Ormond Beach, FL

License number
Florida 111817
Issued Date
Jul 5, 2002
Effective Date
Jan 14, 2014
Expiration Date
Dec 31, 2011
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
3440 Prancer Ln, Ormond Beach, FL 32174
Phone
(306) 307-2442
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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