David W Provost
ActiveCalifornia license 523699
License
- Licensed by
- California Board of Registered Nursing
- License number
- 523699
- Status
- Active (Current)
- First issued
- July 16, 1996
- Expires
- July 31, 2028
- License holder
- David W Provost
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
297 Highway A1a
Unit 416
Satellite Beach, FL 32937
Unit 416
Satellite Beach, FL 32937
Brevard County