MONIQUE L WALLACE-FANTROY
Nursing at Blair Castle Cir, Ruskin, FL

License number
Florida 110502
Issued Date
Jan 10, 2005
Effective Date
Jan 14, 2014
Expiration Date
Dec 31, 2011
Category
Health Care
Type
Certified Nursing Assistant
Address
Address 2
1644 Blair Castle Cir, Ruskin, FL 33570
12395 Cortez Blvd, Brooksville, FL 34613
Phone
(352) 835-8698
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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