AMANDA A WALLACE
Nursing at Mimosa St, Blountstown, FL

License number
Florida 226909
Issued Date
Oct 15, 2010
Effective Date
Jan 15, 2016
Expiration Date
Dec 31, 2013
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
16385 SW Mimosa St, Blountstown, FL 32424
Phone
(850) 674-3741
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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