La Katiya Vongphakham
ActiveCalifornia license 639632
License
- Licensed by
- California Board of Registered Nursing
- License number
- 639632
- Status
- Active (Current)
- First issued
- July 7, 2004
- Expires
- August 31, 2027
- License holder
- La Katiya Vongphakham
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
2798 Coleman Glen Ln
Santa Rosa, CA 95407-4599
Santa Rosa, CA 95407-4599
Sonoma County