SAMANTHA I LAKE
Nursing at Jonathan Ave, Fort Myers, FL

License number
Florida 247400
Issued Date
Sep 12, 2011
Effective Date
Jan 15, 2016
Expiration Date
Dec 31, 2013
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
6046 Jonathan Ave, Fort Myers, FL 33905
Phone
(313) 447-6604
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Samantha Lake
1441 Pine Glen Ln APT A1, Tarpon Spgs, FL 34688
Samantha Lake
1283 Sedeeva Ci, Clearwater, FL 33755
(727) 239-0071

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