MARISA D WALLACE
Nursing at Stratos Ct, Gulf Breeze, FL

License number
Florida 233424
Issued Date
Feb 14, 2011
Effective Date
Jan 15, 2016
Expiration Date
Dec 31, 2013
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
2212 Stratos Ct, Gulf Breeze, FL 32566
Phone
(850) 377-6560
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Marisa Wallace
78 Josie Rd, Mary Esther, FL 32569
Marisa Wallace
Jacksonville, FL
(904) 619-3929
Marisa Wallace, age 33
8284 Stelling Ct, Jacksonville, FL 32244
(904) 619-3929
Marisa Wallace, age 33
1509 Eskimo Ave, Tampa, FL 33604
(813) 915-2838

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