TAKAKO WITHALL
Nursing at Shannon Ave, Port Charlotte, FL

License number
Florida 5212539
Issued Date
Oct 11, 2013
Effective Date
Oct 11, 2013
Expiration Date
Jul 31, 2019
Category
Health Care
Type
Licensed Practical Nurse
Address
Address
21503 Shannon Ave, Port Charlotte, FL 33952
Phone
(941) 585-8976
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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