DIANA M WALLACE
Nursing at Wickham Rd, Melbourne, FL

License number
Florida 240800
Issued Date
Jun 6, 2011
Effective Date
Jan 15, 2016
Expiration Date
Dec 31, 2013
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
7667 N Wickham Rd APT 1218, Melbourne, FL 32940
Phone
(321) 610-3818
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Diana Wallace
4923 Umber Way N, Tampa, FL 33624
Diana Wallace
4600 W Kennedy Blvd, Tampa, FL 33609
(813) 956-1929
Diana Wallace, age 66
232 Nevada Loop Rd, Davenport, FL 33897
Diana Wallace
131 Norwich F, West Palm Bch, FL 33417
(561) 329-3138
Diana Wallace
1240 E Summerlin St, Bartow, FL 33830
(863) 519-5974

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