CA Wall License 1233

CA Wall License 1233 Information

Name Jane Gajano-Blythe
License Number1233
Individual or OrganizationO
Address396 Colusa Avenue
Kensington, CA 94707
CountyContra Costa
License StatusActive
License Original Issue Date10/22/2019
License Expiration Date8/31/2023
License TypeWall License
AgencyAcupuncture Board