Fortunato Taczan Beronilla Jr
ActiveCalifornia license 642972
License
- Licensed by
- California Board of Registered Nursing
- License number
- 642972
- Status
- Active (Current)
- First issued
- August 16, 2004
- Expires
- December 31, 2027
- License holder
- Fortunato Taczan Beronilla Jr
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
850 Rosedale Ave Apt 1
Capitola, CA 95010-2235
Capitola, CA 95010-2235
Santa Cruz County