KEOSHA V BLACK
Nursing at Audrey Dr, Fort Walton Beach, FL

License number
Florida 196212
Issued Date
Aug 20, 2009
Effective Date
Apr 8, 2011
Expiration Date
Dec 31, 2010
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
4 W Audrey Dr, Fort Walton Beach, FL 32548
Phone
(850) 797-7225
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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