JODY T PROVENZA
Nursing at Pintail Cir, Auburndale, FL

License number
Florida 5183487
Issued Date
Aug 4, 2008
Effective Date
Aug 19, 2011
Expiration Date
Jul 31, 2009
Category
Health Care
Type
Licensed Practical Nurse
Address
Address
540 Pintail Cir, Auburndale, FL 33823
Phone
(863) 967-0116
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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