Grace Wiryawan
ActiveCalifornia license 95019521
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95019521
- Status
- Active (Current)
- First issued
- December 21, 2021
- Expires
- November 30, 2026
- License holder
- Grace Wiryawan
- Entity type
- Individual
Classifications
- Nurse Practitioner Nursing
More from the license record
- License type code
- 4004
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Contact
1500 S Central Ave
Suite 320
Glendale, CA 91204-2530
Suite 320
Glendale, CA 91204-2530
Los Angeles County