MICHELLE MARIE VAN WAGNER
Nursing at Angell St, Providence, RI

License number
Rhode Island NA39433
Issued Date
May 22, 2009
Expiration Date
Jun 30, 2018
Category
Nursing Assistant
Type
Nursing Assistant
Address
Address
111 SOUTH Angell St, Providence, RI 02906
LicenseFiles verified this license of Apr 7, 2017 at the Rhode Island Department of Health.

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