MARYANNE T WALLACE
Nursing at Mango Tree Dr, Edgewater, FL

License number
Florida 871761
Issued Date
May 25, 1987
Effective Date
Aug 15, 2007
Expiration Date
Jul 31, 2007
Category
Health Care
Type
Licensed Practical Nurse
Address
Address
1721 Mango Tree Dr, Edgewater, FL 32132