SAMANTHA L FAIRCLOTH
Nursing in Island Grove, FL

License number
Florida 244594
Issued Date
Aug 1, 2011
Effective Date
Jan 15, 2016
Expiration Date
Dec 31, 2013
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
21409 SE 219 Ave, Island Grove, FL 32654
Phone
(352) 481-4201
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 Faircloth, age 56
9650 James Creek Rd, Christmas, FL 32709

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