TABITHA A LAVIS
Nursing at Foremast Ave, Port Richey, FL

License number
Florida 68970
Issued Date
Sep 21, 2002
Effective Date
Jan 16, 2015
Expiration Date
Dec 31, 2012
Category
Health Care
Type
Certified Nursing Assistant
Address
Address 2
9222 Foremast Ave APARTMENT 3822, Port Richey, FL 34668
6801 Rowan Rd, New Port Richey, FL 34653
Phone
(850) 291-9801
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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