LAURIE A WALLACE
Athletic Trainer at Wisnom Ave, San Mateo, CA

License number
Florida 617
Issued Date
Oct 9, 1996
Effective Date
Oct 1, 2008
Expiration Date
Sep 30, 2018
Category
Health Care
Type
Athletic Trainer
Address
Address
438 Wisnom Ave, San Mateo, CA 94401
Phone
(772) 321-4992
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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