TRACY L BOULLEY
Nursing at Lombardy Dr, Smith Point, NY

License number
Florida 15230
Issued Date
Nov 18, 2000
Effective Date
Aug 22, 2006
Expiration Date
Dec 31, 2005
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
25 Lombardy Dr, Smith Point, NY 11967
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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