PHYLLIS D JACKSON
Nursing at Kingston Blvd, Sarasota, FL

License number
Florida 191871
Issued Date
Jul 1, 2009
Effective Date
Jan 15, 2013
Expiration Date
Dec 31, 2010
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
3867 Kingston Blvd, Sarasota, FL 34238
Phone
(941) 923-6029
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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