ILLIA PROVENZO
Nursing at 6 Ave, Miami, FL

License number
Florida 324976
Issued Date
Nov 4, 2015
Effective Date
Nov 4, 2015
Expiration Date
May 31, 2018
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
13055 NE 6Th Ave APT 306, Miami, FL 33161
Phone
(786) 216-3197