CA Wall License 1145

CA Wall License 1145 Information

Name Brandon Blumenfeld
License Number1145
Individual or OrganizationO
Address2920 Queensbury Dr
Los Angeles, CA 90064
CountyLos Angeles
License StatusActive
License Original Issue Date8/21/2021
License Expiration Date12/31/2022
License TypeWall License
AgencyAcupuncture Board