Carlo Miguel Supan
ActiveCalifornia license 95269402
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95269402
- Status
- Active (Current)
- First issued
- December 24, 2021
- Expires
- December 31, 2027
- License holder
- Carlo Miguel Supan
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
2523 W 152nd St
Gardena, CA 90249-4107
Gardena, CA 90249-4107
Los Angeles County