KIM M FAVATA
Nursing at Vanilla Leaf Pl, Lady Lake, FL

License number
Florida 9372227
Issued Date
Nov 4, 2013
Effective Date
Jan 27, 2015
Expiration Date
Apr 30, 2019
Category
Health Care
Type
Registered Nurse
Address
Address 2
965 Vanilla Leaf Pl, Lady Lake, FL 32163
3232 SW 34Th Ave, Ocala, FL 34474
Phone
(352) 633-1669
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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