LARISSA N PROKOP
Nursing at Blooming Grv Tpke, Newburgh, NY

License number
Florida 279124
Issued Date
Apr 11, 2013
Effective Date
Jun 15, 2015
Expiration Date
May 31, 2015
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
835 Blooming Grove Tpke APARTMENT 315, Newburgh, NY 12553
Phone
(845) 545-5512
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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