CRYSTAL WALLACE
Nursing at Gulf Coast Blvd, Venice, FL

License number
Florida 9238850
Issued Date
Oct 26, 2005
Effective Date
Mar 25, 2015
Expiration Date
Apr 30, 2019
Category
Health Care
Type
Registered Nurse
Address
Address 2
1121 Gulf Coast Blvd, Venice, FL 34285
700 Medical Blvd, Inglewood, FL 34223
Phone
(941) 284-2011
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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