Paxton Rae Provost
ActiveCalifornia license 95398195
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95398195
- Status
- Active (Current)
- First issued
- October 21, 2024
- Expires
- May 31, 2028
- License holder
- Paxton Rae Provost
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
27516 Kenfel Dr
Saugus, CA 91350-1745
Saugus, CA 91350-1745
Los Angeles County