Silivanh K Phommavong
ActiveCalifornia license 95271866
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95271866
- Status
- Active (Current)
- First issued
- January 25, 2022
- Expires
- January 31, 2028
- License holder
- Silivanh K Phommavong
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
1731 Lakefront Dr
Prosper, TX 75078-2145
Prosper, TX 75078-2145
Collin County