LATIERE D WALLACE
Nursing at Vine Ave, Clearwater, FL

License number
Florida 146088
Issued Date
Mar 26, 2007
Effective Date
Jan 15, 2013
Expiration Date
Dec 31, 2010
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
907 Vine Ave, Clearwater, FL 33755
Phone
(727) 510-5070