Song Diem Phan
ActiveCalifornia license 644571
License
- Licensed by
- California Board of Registered Nursing
- License number
- 644571
- Status
- Active (Current)
- First issued
- September 9, 2004
- Expires
- November 30, 2027
- License holder
- Song Diem Phan
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
1296 Spruance St
San Jose, CA 95128-4252
San Jose, CA 95128-4252
Santa Clara County