OTAVIA G JACK
Nursing at Caroline St, Port Canaveral, FL

License number
Florida 307254
Issued Date
Oct 13, 2014
Effective Date
Oct 13, 2014
Expiration Date
May 31, 2019
Category
Health Care
Type
Certified Nursing Assistant
Address
Address 2
204 Caroline St APT 715, Port Canaveral, FL 32920
8050 Spyglass Hill Rd, Melbourne, FL 32940
Phone
(321) 458-3240