Phyllisa Dawn Blake
ActiveCalifornia license 95399841
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95399841
- Status
- Active (Current)
- First issued
- November 9, 2024
- Expires
- May 31, 2028
- License holder
- Phyllisa Dawn Blake
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
2280 Defoors Ferry Rd NW
Atlanta, GA 30318-2324
Atlanta, GA 30318-2324
Fulton County