KEIONNA T FANIEL
Nursing at Ml St, Leesburg, FL

License number
Florida 232817
Issued Date
Feb 2, 2011
Effective Date
Jan 16, 2014
Expiration Date
May 31, 2018
Category
Health Care
Type
Certified Nursing Assistant
Address
Address 2
611 Mills St, Leesburg, FL 34748
300 Brookfield Ave, Mount Dora, FL 32757
Phone
(352) 255-2096