Georgia D Penaki
Nursing at Cuerno Verde Dr, Farisita, CO

License number
Colorado 165701
Issued Date
Mar 8, 1990
Renew Date
Feb 1, 2004
Expiration Date
Jan 31, 2006
Type
Certified Nurse Aide
Address
Address 2
310 Cuerno Verde Dr, Farisita, CO 81089
Farisita, CO