Lillie RuthAnn DeBaca
Nursing at Crestwood Ln, Pueblo, CO

License number
Colorado 157561
Issued Date
Nov 20, 1992
Renew Date
Jan 31, 1998
Expiration Date
Jan 31, 1998
Type
Certified Nurse Aide
Address
Address
2305 Crestwood Ln, Pueblo, CO 81008