The holder whose full name is Hines, Derrick L,come from Goshen IN,hold the Home Health Aide license(NO.HHA1404454) which status is Active.
| Name | Hines, Derrick L |
|---|---|
| License Number | HHA1404454 |
| License Type | Home Health Aide |
| License Status | Active |
| City | Goshen |
| State | IN |