TAKAKO WITHALL
Nursing at Shannon Ave, Port Charlotte, FL

License number
Florida 151026
Issued Date
Jun 18, 2007
Effective Date
Jun 18, 2007
Expiration Date
May 31, 2018
Category
Health Care
Type
Certified Nursing Assistant
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.

Personal information

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Name
Address
Phone
Takako Withall
21503 Shannon Ave, Pt Charlotte, FL 33952
(941) 764-8536

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