Sitha Lee Phanmanivong
ActiveCalifornia license 95264566
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95264566
- Status
- Active (Current)
- First issued
- October 29, 2021
- Expires
- June 30, 2027
- License holder
- Sitha Lee Phanmanivong
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
6640 Valentine Cir Unit B
Anchorage, AK 99507-2134
Anchorage, AK 99507-2134
Anchorage County