MACY L PROVEAUX
Nursing at Dekle Rd, Lake City, FL

License number
Florida 286263
Issued Date
Aug 8, 2013
Effective Date
Dec 9, 2015
Expiration Date
May 31, 2017
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
701 SW Dekle Rd, Lake City, FL 32024
Phone
(386) 984-2686