BLAKE W WALLER
Nursing at Faith Cir, Palm Harbor, FL

License number
Florida 299927
Issued Date
May 27, 2014
Effective Date
Jun 21, 2015
Expiration Date
May 31, 2017
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
2739 Faith Cir, Palm Harbor, FL 34684
Phone
(727) 678-9837
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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