PHYLLIS PETERSON
Nursing at Gln Moor Ln, Port Richey, FL

License number
Florida 36861
Issued Date
Jun 17, 1994
Effective Date
Oct 2, 2002
Expiration Date
May 31, 2019
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
9209 Glen Moor Ln, Port Richey, FL 34668
Phone
(727) 482-5199