SHANNON L DIEHM
Nursing at Malcolm Ave, Port Charlotte, FL

License number
Florida 103434
Issued Date
May 18, 2004
Effective Date
Jan 23, 2012
Expiration Date
Dec 31, 2009
Category
Health Care
Type
Certified Nursing Assistant
Address
Address 2
15097 Malcolm Ave, Port Charlotte, FL 33953
4945 Ringwood Mdw, Sarasota, FL 34235
Phone
(941) 426-8983
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Shannon Diehm
528 27Th St, Cape Coral, FL 33904
(239) 673-9144

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