CA Wall License 1315 Information
Name | Jamie Chang |
License Number | 1315 |
Individual or Organization | O |
Address | 8840 Warner Ave. Suite 100
Fountain Valley, CA 92708 |
County | Orange |
License Status | Active |
License Original Issue Date | 9/13/2021 |
License Expiration Date | 9/30/2023 |
License Type | Wall License |
Agency | Acupuncture Board |