Teresita Provido Basaya
ExpiredCalifornia license 277444
License
- Licensed by
- California Board of Registered Nursing
- License number
- 277444
- Status
- Expired (Delinquent)
- First issued
- January 1, 1977
- Expired
- August 31, 2014
- License holder
- Teresita Provido Basaya
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
116 W Maple St. Unit 25
Glendale, CA 91204
Glendale, CA 91204
Los Angeles County