FATEAH TAHRON BALLENTINE
Nursing in Detroit, MI

License number
Michigan 4703065062
Issued Date
Dec 12, 1989
Expiration Date
Mar 31, 2007
Category
Nursing
Type
LPN
Address
Address
Detroit, MI 48224

Personal information

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Name
Address
Phone
Fateah Ballentine, age 58
5753 Guilford St, Detroit, MI 48224