DIANE C WALLIS
Nursing at Paw Paw Ln, Mc Kenzie, TN

License number
Florida 3308912
Issued Date
Aug 20, 1998
Effective Date
May 15, 2014
Expiration Date
Apr 30, 2012
Category
Health Care
Type
Registered Nurse
Address
Address
375 Paw Paw Ln, Mc Kenzie, TN 38201
Phone
(731) 352-4540