LOUIS PROVENZANO, Jr
Nursing at 11 Ave, Cape Coral, FL

License number
Florida 238365
Issued Date
May 9, 2011
Effective Date
Oct 31, 2014
Expiration Date
May 31, 2018
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
1321 SW 11Th Ave, Cape Coral, FL 33991
Phone
(615) 509-5988