PHYLLIS A HANECHAK
Nursing at Packard St, Lake City, FL

License number
Florida 208229
Issued Date
Feb 4, 2010
Effective Date
Jan 14, 2014
Expiration Date
Dec 31, 2011
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
1592 SW Packard St, Lake City, FL 32025
Phone
(386) 752-9454
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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