Jaena Lauren Ponce Fabia Sparks
ActiveCalifornia license 95406106
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95406106
- Status
- Active (Current)
- First issued
- January 20, 2025
- Expires
- April 30, 2028
- License holder
- Jaena Lauren Ponce Fabia Sparks
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
25055 Basel Dr.
PO Box 5035
Crestline, CA 92325
PO Box 5035
Crestline, CA 92325
San Bernardino County