DIANE R WALLACE, Mrs
Nursing at Teays Vly Rd, Scott Depot, WV

License number
Florida 9425539
Issued Date
Feb 1, 2016
Effective Date
Feb 1, 2016
Expiration Date
Apr 30, 2019
Category
Health Care
Type
Registered Nurse
Address
Address 2
9346 Teays Valley Rd, Scott Depot, WV 25560
4606 Maccorkle Ave SW, Charleston, WV 25309
Phone
(304) 541-4334
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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