LAQUAVIA S WALLACE
Nursing at Lowry Ct, Tampa, FL

License number
Florida 253150
Issued Date
Dec 22, 2011
Effective Date
Jan 15, 2016
Expiration Date
Dec 31, 2013
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
3712 Lowry Ct, Tampa, FL 33610
Phone
(863) 937-7863