Tina Lee Anne Provencal
ActiveCalifornia license 838786
License
- Licensed by
- California Board of Registered Nursing
- License number
- 838786
- Status
- Active (Current)
- First issued
- March 5, 2013
- Expires
- September 30, 2028
- License holder
- Tina Lee Anne Provencal
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Other California licenses under this name
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CA
ActiveHuntington Beach, CAExpires Sep 30, 2028
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CA
ActiveHuntington Beach, CAExpires Sep 30, 2028
Contact
8401 Atlanta Ave
Huntington Beach, CA 92646-6129
Huntington Beach, CA 92646-6129
Orange County