WILLIAM L SELF
Nursing at Dimmers Rd, Ormond Beach, FL

License number
Florida 23209
Issued Date
Oct 6, 2005
Effective Date
Jan 21, 2010
Expiration Date
Dec 31, 2007
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
1954 Dimmers Rd, Ormond Beach, FL 32174
Phone
(386) 299-6285
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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