CA Wall License 1145 Information
Name | Brandon Blumenfeld |
License Number | 1145 |
Individual or Organization | O |
Address | 2920 Queensbury Dr
Los Angeles, CA 90064 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 8/21/2021 |
License Expiration Date | 12/31/2022 |
License Type | Wall License |
Agency | Acupuncture Board |