TANEISHA WALLACE
Nursing at Centergate Dr, Hollywood, FL

License number
Florida 186823
Issued Date
Apr 30, 2009
Effective Date
Jan 15, 2013
Expiration Date
Dec 31, 2010
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
2457 Centergate Dr APT 103, Hollywood, FL 33025
Phone
(239) 338-7101
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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