PHYLLIS A LAVELLE
Nursing at Lakeview Dr, Dade City, FL

License number
Florida 77975
Issued Date
Mar 10, 2001
Effective Date
Jun 3, 2015
Expiration Date
May 31, 2017
Category
Health Care
Type
Certified Nursing Assistant
Address
Address 2
12430 Lakeview Dr, Dade City, FL 33525
12417 Clock Tower Pkwy, Port Richey, FL 33667
Phone
(352) 457-5787
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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