MARY C BACKSTROM
Nursing at Supreme Dr, Tarpon Springs, FL

License number
Florida 1827582
Issued Date
Jul 13, 1987
Effective Date
May 15, 2017
Expiration Date
Apr 30, 2017
Category
Health Care
Type
Registered Nurse
Address
Address 2
3315 Supreme Dr, Tarpon Springs, FL 34691
12417 Clock Tower Pkwy, Port Richey, FL 34667
Phone
(727) 938-7162
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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