VAN H WALLACE
Nursing at Montford Dr, Zephyrhills, FL

License number
Florida 9195274
Issued Date
Nov 7, 2002
Effective Date
Aug 2, 2016
Expiration Date
Jul 31, 2014
Category
Health Care
Type
Registered Nurse
Address
Address 2
5832 Montford Dr, Zephyrhills, FL 33541
2901 Swann Ave, Tampa, FL 33609
Phone
(813) 783-1874
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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