TAMMY B BLAKE
Nursing at Heather Ln, Ormond Beach, FL

License number
Florida 3214072
Issued Date
Oct 13, 1997
Effective Date
Apr 1, 2015
Expiration Date
Apr 30, 2019
Category
Health Care
Type
Registered Nurse
Address
Address
12 Heather Ln, Ormond Beach, FL 32174
Phone
(386) 341-2289
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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