CA Wall License 1266 Information
Name | Andrew Nguyen |
License Number | 1266 |
Individual or Organization | O |
Address | 2463 Alvin Avenue
San Jose, CA 95121 |
County | Santa Clara |
License Status | Active |
License Original Issue Date | 10/18/2007 |
License Expiration Date | 5/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |