LYVIE FATAL
Nursing at Bayard Ave, Melbourne, FL

License number
Florida 87254
Issued Date
Dec 2, 1998
Effective Date
May 4, 2014
Expiration Date
May 31, 2018
Category
Health Care
Type
Certified Nursing Assistant
Address
Address 2
454 Bayard Ave NE, Melbourne, FL 32907
271 Indian Harbor Rd, Vero Beach, FL 32963
Phone
(321) 213-2937
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Lyvie Fatal
454 Bayard Ave, Palm Bay, FL 32907

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