Professional Records
License Records
Mary Balthazar
Address:
1933 SW Glendale St, Port St Lucie, FL
Phone:
(786) 251-0147
License #:
102433 - Active
Category:
Health Care
Issued Date:
Oct 18, 1984
Effective Date:
Jan 6, 2006
Expiration Date:
May 31, 2018
Type:
Certified Nursing Assistant