MARSHA E BANTA
Nursing at Victoria Sta Way, Fort Wayne, IN

License number
Florida 9322463
Issued Date
Apr 11, 2011
Effective Date
Aug 2, 2016
Expiration Date
Jul 31, 2016
Category
Health Care
Type
Registered Nurse
Address
Address
309 Victoria Sta Way, Fort Wayne, IN 46814
Phone
(260) 403-3956