Prajnawati Wibowo
ActiveCalifornia license 95034910
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95034910
- Status
- Active (Current)
- First issued
- April 30, 2025
- Expires
- May 31, 2028
- License holder
- Prajnawati Wibowo
- 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
ActiveFort Worth, TXExpires May 31, 2028
-
CA
ActiveFort Worth, TXExpires May 31, 2028
Contact
12404 Woods Edge Trl
Fort Worth, TX 76244-9408
Fort Worth, TX 76244-9408