Kristin Provencher
ActiveCalifornia license 95409821
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95409821
- Status
- Active (Current)
- First issued
- February 17, 2025
- Expires
- September 30, 2028
- License holder
- Kristin Provencher
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
2007 Polley Dr
Roseville, CA 95661-4912
Roseville, CA 95661-4912