LEAH J VAN WAGNER
Nursing at Broward Ave, Labelle, FL

License number
Florida 264357
Issued Date
Jun 8, 2012
Effective Date
Jan 15, 2016
Expiration Date
Dec 31, 2013
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
580 Broward Ave, Labelle, FL 33975
Phone
(863) 675-6091
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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