TARA C TATE
Nursing at Olustee Ave, Lake City, FL

License number
Florida 5163406
Issued Date
Aug 4, 2004
Effective Date
Oct 8, 2004
Expiration Date
Jul 31, 2017
Category
Health Care
Type
Licensed Practical Nurse
Address
Address 2
132 SE Olustee Ave, Lake City, FL 32025
8564 E County Road 466 SUITE 201, Lady Lake, FL 32162
Phone
(386) 867-6016