Aa Ngurah Jaya Negara
ActiveCalifornia license 243543
License
- Licensed by
- California Board of Vocational Nursing and Psychiatric Technicians
- License number
- 243543
- Status
- Active (Current)
- First issued
- July 29, 2009
- Expires
- April 30, 2027
- License holder
- Aa Ngurah Jaya Negara
- Entity type
- Individual
Classifications
- Vocational Nurse Nursing
More from the license record
- License type code
- 4301
Contact
45002 Starina St
Lake Elsinore, CA 92532-1515
Lake Elsinore, CA 92532-1515
Riverside County