Georgina R Fuentes
Psychiatric at Priscilla Dr, Fort Walton Beach, FL

License number
Colorado 202263
Issued Date
Jul 1, 1980
Renew Date
Mar 31, 2003
Expiration Date
Mar 31, 2003
Type
Psychiatric Technician (Developmentally Disabled)
Address
Address
216 Priscilla Dr, Fort Walton Beach, FL 32547