Miriam M Villavicencio
InactiveCalifornia license 523058
License
- Licensed by
- California Board of Registered Nursing
- License number
- 523058
- Status
- Inactive (CurrentInactive)
- First issued
- July 2, 1996
- Expires
- December 31, 2027
- License holder
- Miriam M Villavicencio
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
12 Lotus Ln
Stafford, VA 22554-6834
Stafford, VA 22554-6834
Stafford County