Nicole Mateo Licup Nam
ActiveCalifornia license 95015421
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95015421
- Status
- Active (Current)
- First issued
- September 9, 2020
- Expires
- September 30, 2027
- License holder
- Nicole Mateo Licup Nam
- Entity type
- Individual
Classifications
- Nurse Practitioner Nursing
More from the license record
- License type code
- 4004
Other California licenses under this name
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CA
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Contact
12321 Westcliff Dr
Stanton, CA 90680-3919
Stanton, CA 90680-3919
Orange County