KHACINE K POWELL
Nursing at Tabor St, Fort Pierce, FL

License number
Florida 25307
Issued Date
Oct 10, 2005
Effective Date
Jan 23, 2012
Expiration Date
Dec 31, 2009
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
4526 SW Tabor St, Fort Pierce, FL 34953
Phone
(772) 398-7172