Phillip James Baca
Psychiatric at Paseo Dorado Dr, Pueblo, CO

License number
Colorado 203190
Issued Date
Jun 27, 1985
Renew Date
Apr 1, 2015
Expiration Date
Mar 31, 2017
Type
Psychiatric Technician (Developmentally Disabled)
Address
Address
824 E Paseo Dorado Dr, Pueblo, CO 81007