TaiShay Dominique Mickens
ActiveCalifornia license 95401907
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95401907
- Status
- Active (Current)
- First issued
- December 3, 2024
- Expires
- October 31, 2028
- License holder
- TaiShay Dominique Mickens
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
4978 Rail Dr
Sandston, VA 23150-5464
Sandston, VA 23150-5464
Henrico County