MICHELLE R WAGNER
Nursing at Lk Lucerne Way, Brandon, FL

License number
Florida 80944
Issued Date
Dec 16, 2005
Effective Date
Jan 15, 2013
Expiration Date
Dec 31, 2010
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
1401 Lake Lucerne Way #304, Brandon, FL 33511
Phone
(517) 749-3189
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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