SHANON R TATES-KOLE
Nursing at Warren St, Melbourne, FL

License number
Florida 5159123
Issued Date
Sep 5, 2003
Effective Date
Aug 21, 2012
Expiration Date
Jul 31, 2017
Category
Health Care
Type
Licensed Practical Nurse
Address
Address
2585 Warren St, Melbourne, FL 32904
Phone
(321) 704-7329