JANE ELLEN Rivera PRIMANTO
ActiveCalifornia license 95250402
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95250402
- Status
- Active (Current)
- First issued
- June 14, 2021
- Expires
- February 28, 2027
- License holder
- JANE ELLEN Rivera PRIMANTO
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
15660 Hesse Dr
La Mirada, CA 90638-5446
La Mirada, CA 90638-5446
Los Angeles County