TEQUILA D ENNIS
Nursing at Chandler St, Port Canaveral, FL

License number
Florida 89619
Issued Date
Jul 22, 2003
Effective Date
May 29, 2015
Expiration Date
May 31, 2019
Category
Health Care
Type
Certified Nursing Assistant
Address
Address 2
207 Chandler St APT 118, Port Canaveral, FL 32920
587 Barton Blvd, Viera, FL 32955
Phone
(321) 458-8827