The holder whose full name is Villavicencio, Alex,come from Fort Wayne IN,hold the Registered Nurse license(NO.28158888A) which status is Active.
| Name | Villavicencio, Alex |
|---|---|
| License Number | 28158888A |
| License Type | Registered Nurse |
| License Status | Active |
| City | Fort Wayne |
| State | IN |