TRACIE E MIMS
Nursing at Martin Dr, Port Charlotte, FL

License number
Florida 141461
Issued Date
Dec 13, 2006
Effective Date
Jan 21, 2010
Expiration Date
Dec 31, 2007
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
127 Martin Dr NE, Port Charlotte, FL 33952
Phone
(239) 223-4649
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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