KAPULANNIE MARICHEN BLACK
Nursing at Mineral Spring Ave, Providence, RI

License number
Rhode Island MAD01162
Issued Date
Sep 10, 2009
Expiration Date
Jun 30, 2018
Category
Nursing Assistant
Type
Medication Aide
Address
Address
1073 Mineral Spring Ave, Providence, RI 02904
Phone
(401) 725-6400 (Work)
(401) 722-5916 (Fax)
LicenseFiles verified this license of Apr 7, 2017 at the Rhode Island Department of Health.

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