ANNIE R WALLACE
Nursing at Madison Grn Cir, Palm Coast, FL

License number
Florida 76390
Issued Date
Oct 18, 1984
Effective Date
Dec 13, 2005
Expiration Date
May 31, 2018
Category
Health Care
Type
Certified Nursing Assistant
Address
Address 2
1600 Madison Green Cir, Palm Coast, FL 32164
324 Wilder Blvd, Daytona Beach, FL 32114
Phone
(386) 307-3303