FASTENA I WALLACE
Nursing at 75 Ave, Fort Lauderdale, FL

License number
Florida 97910
Issued Date
Apr 20, 2004
Effective Date
Feb 25, 2013
Expiration Date
May 31, 2019
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
2040 NW 75Th Ave, Fort Lauderdale, FL 33313
Phone
(754) 214-4111