IVES D SULLY
Nursing at Wadingbird Ln, Titusville, FL

License number
Florida 257371
Issued Date
Mar 12, 2012
Effective Date
Mar 12, 2012
Expiration Date
May 31, 2018
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
3001 Wadingbird Ln APT #102, Titusville, FL 32780
Phone
(239) 738-0716
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Ives Sully, age 40
158 Ridgemont Dr, Lehigh Acres, FL 33972

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