TRACY D PROVENZANO
Nursing in Jacksonville, FL

License number
Florida 9218227
Issued Date
Jun 29, 2004
Effective Date
Jul 16, 2004
Expiration Date
Apr 30, 2018
Category
Health Care
Type
Registered Nurse
Address
Address
7019 Coldwater Dr, Jacksonville, FL 32258
Phone
(904) 651-4802
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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