MARY GAIL PTACEK

Business Entity
INACTIVE

Registered Nurse

REGISTERED PROFESSIONAL NURSE

041191344

INACTIVE

N

MARY GAIL

PTACEK

MARY GAIL PTACEK

10/17/1979

10/17/1979

05/31/2002

MONTARA

CA

94037

CALIFORNIA

N

10/09/2006