PEGGY A BOUTELLE
Nursing at Fountain Ave, Tampa, FL

License number
Florida 807911
Issued Date
Dec 9, 1985
Effective Date
Aug 19, 2011
Expiration Date
Jul 31, 2009
Category
Health Care
Type
Licensed Practical Nurse
Address
Address 2
7013 Fountain Ave, Tampa, FL 33634
6117 Trouble Creek Rd, New Port Richey, FL 34653
Phone
(727) 247-2406