NAN THAMMAVONGSA
Nursing at Thompson Ave, Lehigh Acres, FL

License number
Florida 5158917
Issued Date
Aug 25, 2003
Effective Date
Oct 14, 2003
Expiration Date
Jul 31, 2017
Category
Health Care
Type
Licensed Practical Nurse
Address
Address
1402 Thompson Ave, Lehigh Acres, FL 33972
Phone
(239) 851-0661
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Nan Thammavongsa, age 58
1718 Maple Ave, Lehigh Acres, FL 33972
(239) 303-5851

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