PACKIANATH A DEVERAKKAM
Nursing at Flock Ave, Brooksville, FL

License number
Florida 45166
Issued Date
Nov 20, 1990
Effective Date
Jun 15, 2015
Expiration Date
May 31, 2015
Category
Health Care
Type
Certified Nursing Assistant
Address
Address 2
11288 Flock Ave, Brooksville, FL 34613
5637 Marine Pkwy, Port Richey, FL 34652
Phone
(727) 364-6775
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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