ALLAN DISONGLO RIVAS

Business Entity
INACTIVE

Registered Nurse

REGISTERED PROFESSIONAL NURSE

041312408

INACTIVE

N

ALLAN

DISONGLO

RIVAS

ALLAN DISONGLO RIVAS

11/13/1998

11/13/1998

05/31/2000

JERSEY CITY

NJ

07306

NEW JERSEY

N

09/27/2006