KELLY C WIDMAN
Nursing at Grand Dr, Fort Pierce, FL

License number
Florida 193652
Issued Date
Jul 21, 2009
Effective Date
Jan 16, 2015
Expiration Date
Dec 31, 2012
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
2725 SE Grand Dr, Fort Pierce, FL 34952
Phone
(772) 370-1217
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Kelly Widman
2725 SE Grand Dr, Port Saint Lucie, FL 34952

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