Phonh S Kongmanichanh
ActiveCalifornia license 645812
License
- Licensed by
- California Board of Registered Nursing
- License number
- 645812
- Status
- Active (Current)
- First issued
- October 1, 2004
- Expires
- April 30, 2028
- License holder
- Phonh S Kongmanichanh
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
1221 W Newmark Ave
Monterey Park, CA 91754-2410
Monterey Park, CA 91754-2410
Los Angeles County