IMMARIE P DATILES
Nursing at Lakebridge Plz Dr, Ormond Beach, FL

License number
Florida 9254692
Issued Date
Apr 4, 2007
Effective Date
Aug 15, 2012
Expiration Date
Jul 31, 2010
Category
Health Care
Type
Registered Nurse
Address
Address
420 Lakebridge Plaza Dr APT 206, Ormond Beach, FL 32174
Phone
(386) 672-2974