AMANDA J DEWALT
Nursing at Sunward Ave, Palm Harbor, FL

License number
Florida 75674
Issued Date
Oct 9, 2002
Effective Date
Jan 21, 2010
Expiration Date
Dec 31, 2007
Category
Health Care
Type
Certified Nursing Assistant
Address
Address 2
179 Sunward Ave, Palm Harbor, FL 34684
6020 Indiana Ave, New Port Richey, FL 34653