LORI-ANN A PROVOST
Nursing at Acapulco Dr, Hollywood, FL

License number
Florida 10465
Issued Date
May 6, 2004
Effective Date
Aug 22, 2006
Expiration Date
Dec 31, 2005
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
2021 Acapulco Dr, Hollywood, FL 33023
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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