STACY L WALLACE
Nursing at Marilyn Ave, Saint Augustine, FL

License number
Florida 5182066
Issued Date
Apr 17, 2008
Effective Date
Dec 2, 2011
Expiration Date
Jul 31, 2017
Category
Health Care
Type
Licensed Practical Nurse
Address
Address
16 Marilyn Ave, Saint Augustine, FL 32080
Phone
(190) 447-1728