Nidath Marie Southall
ActiveCalifornia license 520472
License
- Licensed by
- California Board of Registered Nursing
- License number
- 520472
- Status
- Active (Current)
- First issued
- March 19, 1996
- Expires
- February 29, 2028
- License holder
- Nidath Marie Southall
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
14443 Bottlebrush Way
Moreno Valley, CA 92555-6923
Moreno Valley, CA 92555-6923
Los Angeles County