Primo Deogracias Bautista
ActiveCalifornia license 636279
License
- Licensed by
- California Board of Registered Nursing
- License number
- 636279
- Status
- Active (Current)
- First issued
- April 19, 2004
- Expires
- February 29, 2028
- License holder
- Primo Deogracias Bautista
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
4611 E Lavante St
Long Beach, CA 90815-2752
Long Beach, CA 90815-2752
Los Angeles County