SHANNEL R WALLACE
Nursing at King Arthur Dr, Port Richey, FL

License number
Florida 9396306
Issued Date
Nov 19, 2014
Effective Date
Nov 19, 2014
Expiration Date
Jul 31, 2018
Category
Health Care
Type
Registered Nurse
Address
Address 2
7331 King Arthur Dr, Port Richey, FL 34668
6807 Rowan Rd, New Port Richey, FL 34653
Phone
(408) 598-0151
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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