Ernest Jake Baca, JR
Psychiatric at Woodstock Dr, Pueblo, CO

License number
Colorado 205545
Issued Date
Jul 27, 2011
Renew Date
Apr 1, 2015
Expiration Date
Mar 31, 2017
Type
Psychiatric Technician (Developmentally Disabled)
Address
Address
495 S Woodstock Dr, Pueblo, CO 81007