The holder whose full name is Nguyen, Phuong Bach,come from Fort Wayne IN,hold the Temporary Manicurist license(NO.TP10601649) which status is Superceded.
| Name | Nguyen, Phuong Bach |
|---|---|
| License Number | TP10601649 |
| License Type | Temporary Manicurist |
| License Status | Superceded |
| City | Fort Wayne |
| State | IN |