Patricia Tanurahardjo Mabbayad
ActiveCalifornia license 95021933
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95021933
- Status
- Active (Current)
- First issued
- July 21, 2022
- Expires
- September 30, 2027
- License holder
- Patricia Tanurahardjo Mabbayad
- Entity type
- Individual
Classifications
- Nurse Practitioner Nursing
More from the license record
- License type code
- 4004
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Contact
68565 San Felipe Rd
Cathedral City, CA 92234-8103
Cathedral City, CA 92234-8103
Riverside County