CA Wall License 1012 Information
| Name | Diane Silva |
| License Number | 1012 |
| Individual or Organization | O |
| Address | 516 Sebastopol Avenue
Santa Rosa, CA 95401 |
| County | Sonoma |
| License Status | Active |
| License Original Issue Date | 7/17/1996 |
| License Expiration Date | 7/31/2023 |
| License Type | Wall License |
| Agency | Acupuncture Board |