MICHAEL B BLAKE
Nursing at Jarman Ln, Port Richey, FL

License number
Florida 161771
Issued Date
Jan 8, 2008
Effective Date
Jan 23, 2012
Expiration Date
Dec 31, 2009
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
9232 Jarman Ln, Port Richey, FL 34668
Phone
(727) 236-8374
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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