TAVARES T BLOCKER
Nursing at Glassner Ave, Melbourne, FL

License number
Florida 129482
Issued Date
Nov 12, 2002
Effective Date
Feb 19, 2013
Expiration Date
May 31, 2019
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
2864 Glassner Ave NE, Melbourne, FL 32905
Phone
(321) 215-5560
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Tavares T Blocker, age 47
909 Almond Blvd, Melbourne, FL 32901

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