Thanemany Atna Sisouphanthong
ActiveCalifornia license 95411414
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95411414
- Status
- Active (Current)
- First issued
- February 27, 2025
- Expires
- April 30, 2028
- License holder
- Thanemany Atna Sisouphanthong
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
5107 W Bedford Ave
Fresno, CA 93722-2791
Fresno, CA 93722-2791
Fresno County