Dan Ralph Provido Mediana
ActiveCalifornia license 95382765
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95382765
- Status
- Active (Current)
- First issued
- June 20, 2024
- Expires
- January 31, 2028
- License holder
- Dan Ralph Provido Mediana
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
1313 Celeste Dr
Apt 15
Modesto, CA 95355
Apt 15
Modesto, CA 95355
Stanislaus County