RUSSELL E KLOTZ
Nursing at Pne St North, Melbourne, FL

License number
Florida 83515
Issued Date
Jun 5, 1996
Effective Date
Dec 20, 2005
Expiration Date
May 31, 2018
Category
Health Care
Type
Certified Nursing Assistant
Address
Address 2
2659 North Ct E, Melbourne, FL 32905
13695 U.s.hw u.s.hwy#1 #1, Sebastian, FL 32958
Phone
(321) 591-4915
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Russell Klotz
1800 Bryan St, Melbourne, FL 32901

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