Latoya Wallace

Physician assistant

Owner/ceo

Pensacola, United States

Profile Privacy

Engage via Email•••••••••••••••@yahoo...

Engage via Phone +185••••••••

Reveal information

Full name

LATOYA WALLACE

Job Title

Physician Assistant

Location

Pensacola, FL, USA

LIC ID

13068

Current License Expiration Date

31/01/2026

Original Date

21/10/2016

Professional Rank Code

Effective Date

18/01/2024

Board Action Indicator

License Status Description

CLEAR

License Active Status Description

ACTIVE

Country Description

ESCAMBIA

Practice Location Address Line 1

1010 North 12th Ave

Practice Location Address Line 2

Suite 125

Practice Location Address City

PENSACOLA

Practice Location Address State

Practice Location Address Zipcode

32501

Mode Code

Dispensing Practitioner, Prescribing

Prescribing Indicator

Dispensing Indicator

Your Next Hire Awaits!

Get started free

Other members also viewed

Michael seese

Physician assistant

View contact

Mark mitchelson

Emergency physician

View contact

Hooi-ling harrison

Emergency physician

View contact

Haidar samiei

Consultant emergency physician

View contact

Ian clifton