TRACIE A STACK
Nursing at Bloxam Ave, Clermont, FL

License number
Florida 155125
Issued Date
Sep 4, 2007
Effective Date
Jan 23, 2012
Expiration Date
Dec 31, 2009
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
404 Bloxam Ave, Clermont, FL 34711
Phone
(407) 948-2665
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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