TODD M WALLACE
Medical Practice at 83 Ave, Saint Petersburg, FL

License number

Florida 544371

Issued Date

Nov 26, 2013

Effective Date

Jul 6, 2015

Expiration Date

Dec 1, 2014

Category

Health Care

Type

Emergency Medical Technician

Address

Address

420 83Rd Ave N, Saint Petersburg, FL 33702

Phone

(317) 372-8223

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