PHYLLIS M INNOCENT
Nursing at Hampton Ave, Kingsley Lake, FL

License number
Florida 269464
Issued Date
Sep 5, 2012
Effective Date
May 29, 2015
Expiration Date
May 31, 2019
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
10362 Hampton Ave, Kingsley Lake, FL 32091
Phone
(352) 468-3328
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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