B A S I C L I F E S U P P O R T
BLS
Provider
Kelly Tagnolli
has successfully completed the cognitive and skills
evaluations in accordance with the curriculum of the
American Heart Association Basic Life Support
(CPR and AED) Program.
Issue Date Recommended Renewal Date
1/13/2020 01/2022
Training Center Name Instructor Name
The HealthSource at Kidsake
Rocky Jacobs-Carpenter
Instructor ID
Training Center ID
12060234764
CA03244
eCard Code
Training Center Address
205503107512
427 Mendocino Ave #100
Santa Rosa CA 95401 USA QR Code
Training Center Phone
Number
(707) 546-4656
To view or verify authenticity, students and employers should scan this QR code with their mobile device or go to www.heart.org/cpr/mycards.
© 2016 American Heart Association. All rights reserved. 15-3001 3/16