PORTIA L BLAKE
Nursing at Lyster Cir, Jacksonville, FL

License number

Florida 152856

Issued Date

Jul 24, 2007

Effective Date

Jan 15, 2013

Expiration Date

Dec 31, 2010

Category

Health Care

Type

Certified Nursing Assistant

Address

Address

7044 Lyster Cir, Jacksonville, FL 32209

Phone

(904) 228-8802

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