OMADAI GHISIAWAN
Nursing at 207, Miami, FL

License number
Florida 155554
Issued Date
Sep 14, 2007
Effective Date
Jan 23, 2012
Expiration Date
Dec 31, 2009
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
11831 SW 207Th St, Miami, FL 33177
Phone
(305) 252-0772
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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