LATICIA C WALLACE
Nursing at Southbrook Dr, Jacksonville, FL

License number
Florida 329736
Issued Date
Mar 14, 2016
Effective Date
Mar 14, 2016
Expiration Date
May 31, 2017
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
9765 Southbrook Dr #2003, Jacksonville, FL 32256
Phone
(904) 844-1922
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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