TARA C FRAZE
Nursing at Vivian Ln, Port Richey, FL

License number
Florida 5160569
Issued Date
Dec 17, 2003
Effective Date
Jun 10, 2015
Expiration Date
Jul 31, 2017
Category
Health Care
Type
Licensed Practical Nurse
Address
Address
13214 Vivian Ln, Port Richey, FL 34669
Phone
(727) 480-3282
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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25 Greenhaven Cir, Oldsmar, FL 34677
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