TANNER A PENZABENE
Nursing at Jarvis Rd, Ravena, NY

License number
Florida 9405920
Issued Date
Apr 28, 2015
Effective Date
Apr 28, 2015
Expiration Date
Jul 31, 2018
Category
Health Care
Type
Registered Nurse
Address
Address 2
143 Jarvis Rd S, Ravena, NY 12143
3452 Lake Lynda Dr, Orlando, FL 32817
Phone
(518) 419-0726
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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