TABITHA CIVIC
Nursing at Holw Ln, Leesburg, FL

License number
Florida 78781
Issued Date
Jun 16, 2004
Effective Date
Jan 21, 2010
Expiration Date
Dec 31, 2007
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
2631 Hollow Ln, Leesburg, FL 34748
Phone
(352) 223-0776
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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