TAKEAH L FANCY
Nursing at Emerald Ave, Lake Wales, FL

License number
Florida 91804
Issued Date
Sep 26, 2003
Effective Date
Jan 15, 2013
Expiration Date
Dec 31, 2010
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
219 Emerald Ave, Lake Wales, FL 33853
Phone
(863) 241-1142
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Takeah Fancy, age 73
410 Domaris Ave, Lake Wales, FL 33853
(863) 604-5554
Takeah L Fancy, age 41
219 Emerald Ave, Lake Wales, FL 33853
(863) 676-5449
(863) 678-1815
(863) 678-1849
(863) 679-9841

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