CAROLINA A PHUNGRASAMEE

Business Entity
INACTIVE

Registered Nurse

REGISTERED PROFESSIONAL NURSE

041131109

INACTIVE

N

CAROLINA A

PHUNGRASAMEE

CAROLINA A PHUNGRASAMEE

06/19/1969

06/19/1969

05/31/1986

SANTA BARBARA

CA

93109

CALIFORNIA

N

09/27/2006