TINA M LONG
Nursing at Grace Ave, Port Charlotte, FL

License number
Florida 193642
Issued Date
Jul 21, 2009
Effective Date
Jan 15, 2013
Expiration Date
Dec 31, 2010
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
18169 Grace Ave, Port Charlotte, FL 33948
Phone
(608) 754-2399
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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