CA Wall License 115

CA Wall License 115 Information

Name Himeno Vigo
License Number115
Individual or OrganizationO
Address20300 Ventura Blvd
#47-491
Woodland Hills, CA 91364
CountyLos Angeles
License StatusActive
License Original Issue Date2/18/2021
License Expiration Date2/28/2023
License TypeWall License
AgencyAcupuncture Board