Tatum Helena Thongmahavong
ActiveCalifornia license 95397756
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95397756
- Status
- Active (Current)
- First issued
- October 16, 2024
- Expires
- March 31, 2028
- License holder
- Tatum Helena Thongmahavong
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
2425 Hooftrail Way
Antioch, CA 94531-8918
Antioch, CA 94531-8918