David Allan VanTassel
Nursing at Irvington Ave, Maplewood, NJ

License number
Colorado 23662
Issued Date
Nov 25, 1985
Renew Date
Jun 30, 1986
Expiration Date
Jun 30, 1986
Type
Licensed Practical Nurse
Address
Address
512 Irvington Ave, Maplewood, NJ 07040