NICOLE BALLENTINE
Radiology at Florida Ave, Orange City, FL

License number
Florida 74964
Issued Date
Jan 2, 2008
Effective Date
Oct 1, 2016
Expiration Date
Jan 31, 2009
Category
Health Care
Type
Radiologic Technology
Address
Address
930 Florida Ave, Orange City, FL 32763
Phone
(386) 775-3837
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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