Tynisha D Wallace
Nursing at Autumn Cv Cir, Orange Park, FL

License number
Florida 9427649
Issued Date
Feb 25, 2016
Effective Date
Feb 25, 2016
Expiration Date
Apr 30, 2019
Category
Health Care
Type
Registered Nurse
Address
Address 2
2196 Autumn Cove Cir, Orange Park, FL 32003
3626 University Blvd S, Jacksonville, FL 32216
Phone
(205) 215-2155
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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