Alyssa Thonie Banta Agbanlog
ActiveCalifornia license 95387265
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95387265
- Status
- Active (Current)
- First issued
- July 16, 2024
- Expires
- April 30, 2028
- License holder
- Alyssa Thonie Banta Agbanlog
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
4950 Stevenson Blvd Apt 56
Fremont, CA 94538
Fremont, CA 94538
Alameda County