PHATERRAL L JACKSON
Nursing at 5 Ave, Saint Petersburg, FL

License number
Florida 104858
Issued Date
Feb 22, 1993
Effective Date
Feb 14, 2012
Expiration Date
May 31, 2018
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
3930 5Th Ave S, Saint Petersburg, FL 33711
Phone
(727) 290-7899