TAMMY L BLACK
Nursing at Turgot Ave, Edgewater, FL

License number
Florida 97062
Issued Date
Apr 10, 1990
Effective Date
Jan 23, 2012
Expiration Date
Dec 31, 2009
Category
Health Care
Type
Certified Nursing Assistant
Address
Address 2
121 E Turgot Ave APT A, Edgewater, FL 32132
401 Palmetto St, New Smyrna, FL 32168
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
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Phone
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7 Chesney Ct, Palm Coast, FL 32137
(386) 283-4132
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