LADY PROVENCAL
Nursing at 168 Dr, Goodyear, AZ

License number
Florida 9407225
Issued Date
May 21, 2015
Effective Date
May 21, 2015
Expiration Date
Apr 30, 2019
Category
Health Care
Type
Registered Nurse
Address
Address
369 N 168Th Dr, Goodyear, AZ 85338
Phone
(480) 707-7510
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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