ANGELA V WALLACE
Nursing at Shirley Dr, Fort Walton Beach, FL

License number
Florida 120034
Issued Date
Aug 9, 1999
Effective Date
Jan 15, 2016
Expiration Date
Dec 31, 2013
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
115 Shirley Dr, Fort Walton Beach, FL 32548
Phone
(850) 630-9352
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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