WALLACE A MITCHELL
Nursing at Peninsula Dr, Daytona Beach, FL

License number
Florida 203918
Issued Date
Nov 30, 2009
Effective Date
Jan 15, 2013
Expiration Date
Dec 31, 2010
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
101 S Peninsula Dr APT 307, Daytona Beach, FL 32118
Phone
(386) 451-1902
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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