Chantel Alicia Ortiz
Nursing at Indiana, Farisita, CO

License number
Colorado 514168
Issued Date
Sep 13, 2002
Renew Date
Dec 1, 2008
Expiration Date
Jan 31, 2010
Type
Certified Nurse Aide
Address
Address
900 E Indiana Ave APT 15, Farisita, CO 81089