JAMES R MATTINGLY
Nursing at Blueberry Ln, Crestview, FL

License number
Florida 1261001
Issued Date
Jan 29, 1997
Effective Date
Aug 14, 2003
Expiration Date
Jul 31, 2001
Category
Health Care
Type
Licensed Practical Nurse
Address
Address
6082 Blueberry Ln, Crestview, FL 32536