Patima Patti Phongtratik
ActiveCalifornia license 629183
License
- Licensed by
- California Board of Registered Nursing
- License number
- 629183
- Status
- Active (Current)
- First issued
- November 14, 2003
- Expires
- March 31, 2027
- License holder
- Patima Patti Phongtratik
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
598 E Desert Willow Rd
Azusa, CA 91702-1577
Azusa, CA 91702-1577
Los Angeles County