MARIAH M WALLACE
Nursing at Downing St, Dover, FL

License number
Florida 266302
Issued Date
Jul 16, 2012
Effective Date
Jan 15, 2016
Expiration Date
Dec 31, 2013
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
5402 Downing St, Dover, FL 33527
Phone
(813) 441-4987
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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