DIANE R WALLACE
Nursing at Wild Sienna Loop, Zephyrhills, FL

License number
Florida 9338948
Issued Date
Mar 7, 2012
Effective Date
Mar 25, 2015
Expiration Date
Apr 30, 2019
Category
Health Care
Type
Registered Nurse
Address
Address 2
27936 Wild Sienna Loop, Zephyrhills, FL 33544
4211 Van Dyke Rd, Lutz, FL 33558
Phone
(941) 704-0690
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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