JENELLE A BLAYLOCK
Nursing at Brg Water Dr, Melbourne, FL

License number
Florida 122508
Issued Date
Jan 3, 2005
Effective Date
Jan 21, 2010
Expiration Date
Dec 31, 2007
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
1401 Bridgewater Dr, Melbourne, FL 32934
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Jenelle Blaylock
Melbourne, FL
(321) 914-4439

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