SHANTA P GAUTAM
Nursing at Springdale Blvd, Lake Worth, FL

License number
Florida 224124
Issued Date
Aug 18, 2010
Effective Date
Jan 14, 2014
Expiration Date
Dec 31, 2011
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
2500 Springdale Blvd, Lake Worth, FL 33461
Phone
(561) 357-4749
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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