MAE FARAH P LACSAMANA
Nursing at Hoofprint Dr, Melbourne, FL

License number
Florida 244620
Issued Date
Aug 1, 2011
Effective Date
Jan 15, 2016
Expiration Date
Dec 31, 2013
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
3367 Hoofprint Dr, Melbourne, FL 32940
Phone
(321) 610-7518
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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