IDALY B MATA
Nursing at Johnson Rd, Birchwood, TN

License number
Florida 983631
Issued Date
Jun 18, 1990
Effective Date
Aug 25, 2015
Expiration Date
Jul 31, 2013
Category
Health Care
Type
Licensed Practical Nurse
Address
Address
5280 Johnson Rd, Birchwood, TN 37308
Phone
(904) 321-7919