CA Wall License 1233 Information
Name | Jane Gajano-Blythe |
License Number | 1233 |
Individual or Organization | O |
Address | 396 Colusa Avenue
Kensington, CA 94707 |
County | Contra Costa |
License Status | Active |
License Original Issue Date | 10/22/2019 |
License Expiration Date | 8/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |