Latdavanh Phansalyasack
Nursing at 97 Pl, Denver, CO

License number
Colorado 514404
Issued Date
Oct 3, 2002
Renew Date
Oct 3, 2002
Expiration Date
Jan 31, 2004
Type
Certified Nurse Aide
Address
Address
15876 E 97Th Pl, Denver, CO 80022
LicenseFiles verified this license of Dec 9, 2016 at the Colorado - Department of Regulatory Agencies.

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