KELLY S PROVOST
Nursing at Tremayne Dr, Mount Dora, FL

License number
Florida 9262457
Issued Date
May 31, 2007
Effective Date
Mar 16, 2015
Expiration Date
Apr 30, 2019
Category
Health Care
Type
Registered Nurse
Address
Address 2
6138 Tremayne Dr, Mount Dora, FL 32757
83 W Miller St, Orlando, FL 32806
Phone
(352) 735-3536