VIVIAN D GRACE
Nursing at Powell St, Wildwood, FL

License number
Florida 111811
Issued Date
Aug 12, 1996
Effective Date
May 5, 2015
Expiration Date
May 31, 2017
Category
Health Care
Type
Certified Nursing Assistant
Address
Address 2
815 Powell St, Wildwood, FL 34785
630 Griffin Ave, Lady Lake, FL 32159
Phone
(352) 702-5547
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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