License Directory

Basaria Pujiwati Tamba

Active

California license 627475

License

Licensed by
California Board of Registered Nursing
License number
627475
Status
Active (Current)
First issued
October 3, 2003
Expires
July 31, 2027
License holder
Basaria Pujiwati Tamba
Entity type
Individual

Classifications

More from the license record

License type code
4001

Contact

29320 Henderson Ln
Highland, CA 92346-6206
San Bernardino County