CA Wall License 1316 Information
| Name | Phanthong Mesomsub |
| License Number | 1316 |
| Individual or Organization | O |
| Address | 450 Connecticut Street
San Francisco, CA 94107 |
| County | San Francisco |
| License Status | Active |
| License Original Issue Date | 9/13/2021 |
| License Expiration Date | 12/31/2022 |
| License Type | Wall License |
| Agency | Acupuncture Board |