MARISA D WALLACE
Nursing at Venice Ln, Milton, FL

License number
Florida 9382467
Issued Date
May 15, 2014
Effective Date
May 15, 2014
Expiration Date
Apr 30, 2018
Category
Health Care
Type
Registered Nurse
Address
Address 2
3927 Venice Ln, Milton, FL 32571
5151 N 9Th Ave, Pensacola, FL 32504
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
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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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