TRACIE L TIENSVOLD
Nursing at 56 Ave, Fort Lauderdale, FL

License number
Florida 5173428
Issued Date
Sep 26, 2006
Effective Date
Aug 19, 2009
Expiration Date
Jul 31, 2007
Category
Health Care
Type
Licensed Practical Nurse
Address
Address
2910 NW 56Th Ave APT #410, Fort Lauderdale, FL 33313
Phone
(816) 838-6187