IVANA M PROVATAKIS
Nursing at Oak Ln, Casselberry, FL

License number
Florida 9250288
Issued Date
Aug 17, 2006
Effective Date
Aug 19, 2010
Expiration Date
Jul 31, 2008
Category
Health Care
Type
Registered Nurse
Address
Address
1104 Oak Ln, Casselberry, FL 32708
Phone
(315) 868-7163