Ivanka Divajanti Gloria Abigail Soemarna
ActiveCalifornia license 95406570
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95406570
- Status
- Active (Current)
- First issued
- January 24, 2025
- Expires
- August 31, 2028
- License holder
- Ivanka Divajanti Gloria Abigail Soemarna
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
602 W 34th St
San Bernardino, CA 92405-2002
San Bernardino, CA 92405-2002
San Bernardino County