LA T BROADWATER
Nursing at Kai Kala St, Ewa Beach, HI

License number
Florida 3079362
Issued Date
Jul 24, 1996
Effective Date
May 14, 2010
Expiration Date
Apr 30, 2008
Category
Health Care
Type
Registered Nurse
Address
Address 2
91-1009 Kaikala St, Ewa Beach, HI 96706
480 Central Ave BUILDING 1407, Pearl Harbor, HI 96860
Phone
(912) 322-6820
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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