RAVEN A FANNINGS
Nursing at Cadillac Dr, Melbourne, FL

License number
Florida 228867
Issued Date
Nov 23, 2010
Effective Date
Jun 1, 2016
Expiration Date
May 31, 2016
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
965 Cadillac Dr, Melbourne, FL 32905
Phone
(321) 557-1428
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Raven A Fannings, age 33
102 Northbrook Ln, Ormond Beach, FL 32174

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