The holder whose full name is BLACK, DEIDRA,come from South Bend IN,hold the Home Health Aide license(NO.HHA1304403) which status is Active.
| Name | BLACK, DEIDRA |
|---|---|
| License Number | HHA1304403 |
| License Type | Home Health Aide |
| License Status | Active |
| City | South Bend |
| State | IN |