CA Wall License 116 Information
Name | Himeno Vigo |
License Number | 116 |
Individual or Organization | O |
Address | 6033 W Century Blvd Ste. 200
Los Angeles, CA 90045 |
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 |