CA Wall License 115 Information
Name | Himeno Vigo |
License Number | 115 |
Individual or Organization | O |
Address | 20300 Ventura Blvd #47-491 Woodland Hills, CA 91364 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 2/18/2021 |
License Expiration Date | 2/28/2023 |
License Type | Wall License |
Agency | Acupuncture Board |