LATISA A WALLACE
Nursing at Lewis Dr, Daytona Beach, FL

License number
Florida 91372
Issued Date
Sep 28, 2002
Effective Date
Jun 1, 2016
Expiration Date
May 31, 2016
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
850 Lewis Dr, Daytona Beach, FL 32117
Phone
(386) 274-9149
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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