Manichanh Southibounnorath
ActiveCalifornia license 95289598
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95289598
- Status
- Active (Current)
- First issued
- June 27, 2022
- Expires
- August 31, 2027
- License holder
- Manichanh Southibounnorath
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
22 Terra Vista Ave Apt D1
San Francisco, CA 94115-3856
San Francisco, CA 94115-3856
San Francisco County