Jack Tampubolon
Nursing at Killarney Way, Denver, CO

License number
Colorado 700729
Issued Date
Sep 30, 1999
Renew Date
Feb 1, 2010
Expiration Date
Jan 31, 2012
Type
Certified Nurse Aide
Address
Address
2896 S Killarney Way S. Killarney Way, Denver, CO 80013