TEQUILA V LANDY
Nursing at Golfview Ave, Bartow, FL

License number
Florida 101718
Issued Date
Mar 26, 1992
Effective Date
Jan 21, 2010
Expiration Date
Dec 31, 2007
Category
Health Care
Type
Certified Nursing Assistant
Address
Address 2
1060 Golfview Ave APT 4, Bartow, FL 33830
1010 Carpenters Way, Lakeland, FL 33809
Phone
(863) 370-0010
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Tequila V Landy, age 52
1215 Thomasville Cir, Lakeland, FL 33811
Tequila V Landy, age 52
301 8Th Ave, Mulberry, FL 33860

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