MITZI L WALLACE
Nursing at 23 Ave, Tampa, FL

License number
Florida 71405
Issued Date
Dec 14, 1995
Effective Date
Dec 8, 2005
Expiration Date
May 31, 2018
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
913 E 23Rd Ave, Tampa, FL 33605
Phone
(813) 384-9985