WALLACE W WEST
Nursing at Brandywine Pkwy, Guilderland, NY

License number
Florida 5163512
Issued Date
Aug 12, 2004
Effective Date
Sep 6, 2007
Expiration Date
Jul 31, 2005
Category
Health Care
Type
Licensed Practical Nurse
Address
Address
105 Brandywine Pkwy, Guilderland, NY 12084
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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