RALPH D FOUNTAIN
Nursing at 146 Pl, Summerfield, FL

License number
Florida 16425
Issued Date
Aug 9, 2005
Effective Date
Jan 23, 2012
Expiration Date
Dec 31, 2009
Category
Health Care
Type
Certified Nursing Assistant
Address
Address 2
4771 SE 146Th Pl, Summerfield, FL 34491
2700 SW 34Th St, Ocala, FL 34474
Phone
(352) 551-3866