The holder whose full name is Shackelford, Diane Gail,come from Farmington NM,hold the Registered Nurse license(NO.28087384A) which status is Active.
| Name | Shackelford, Diane Gail |
|---|---|
| License Number | 28087384A |
| License Type | Registered Nurse |
| License Status | Active |
| City | Farmington |
| State | NM |