DERRICK L WALLACE
Nursing at 202 Ter, Miami, FL

License number
Florida 102419
Issued Date
Oct 29, 1998
Effective Date
Jan 6, 2006
Expiration Date
May 31, 2018
Category
Health Care
Type
Certified Nursing Assistant
Address
Address 2
130 NE 130Th Ter, Miami, FL 33179
1200 N 35Th Ave, Hollywood, FL 33021
Phone
(786) 263-1236
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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