PHILLIP JOHNSON
Nursing at Ruby Ave, Port Charlotte, FL

License number
Florida 69015
Issued Date
Oct 14, 2003
Effective Date
Jan 21, 2010
Expiration Date
Dec 31, 2007
Category
Health Care
Type
Certified Nursing Assistant
Address
Address 2
23149 Ruby Ave, Port Charlotte, FL 33952
PO Box 2218, Fort Myers, FL 33902
Phone
(941) 456-4618