PRISCILLA A VAN WAGNER
Nursing at Gulf Shr Dr, Destin, FL

License number
Florida 9242421
Issued Date
Mar 23, 2006
Effective Date
Mar 23, 2006
Expiration Date
Apr 30, 2019
Category
Health Care
Type
Registered Nurse
Address
Address
725 Gulf Shore Dr UNIT 405B, Destin, FL 32541
Phone
(850) 650-4374
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Priscilla Van, age 66
16960 SE 101St Court Rd, Summerfield, FL 34491

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