MINDA A WALLACE
Physician Assistant at Riverside Dr, Daytona Beach, FL

License number
Florida 9108697
Issued Date
Apr 30, 2015
Effective Date
Apr 30, 2015
Expiration Date
Jan 31, 2018
Category
Health Care
Type
Physician Assistant
Address
Address 2
231 Riverside Dr UNIT 409, Daytona Beach, FL 32117
298 S Yonge St, Ormond Beach, FL 32174
Phone
(202) 288-5046
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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