Miriam Banzon Tablada
ActiveCalifornia license 611111
License
- Licensed by
- California Board of Registered Nursing
- License number
- 611111
- Status
- Active (Current)
- First issued
- December 23, 2002
- Expires
- October 31, 2028
- License holder
- Miriam Banzon Tablada
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
5427 Parma Ave
Fontana, CA 92336-0263
Fontana, CA 92336-0263
San Bernardino County