Professional Records
License Records
Manita Maxy
Address:
1874 Plantation Cir SE, Palm Bay, FL
1415 S Hickory St, Melbourne, FL
Phone:
(321) 412-6983
License #:
59428 - Expired
Category:
Health Care
Issued Date:
Jan 17, 2004
Effective Date:
Jan 23, 2012
Expiration Date:
Dec 31, 2009
Type:
Certified Nursing Assistant