Lea Baltazar Requillas
ActiveCalifornia license 622643
License
- Licensed by
- California Board of Registered Nursing
- License number
- 622643
- Status
- Active (Current)
- First issued
- July 28, 2003
- Expires
- May 31, 2027
- License holder
- Lea Baltazar Requillas
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
10218 Bridgeview Ln
Stockton, CA 95219-7279
Stockton, CA 95219-7279
San Joaquin County