CA Wall License 1351 Information
Name | Emily Head |
License Number | 1351 |
Individual or Organization | O |
Address | 32670 Highway 20 Suite 5 Fort Bragg, CA 95437 |
County | Mendocino |
License Status | Active |
License Original Issue Date | 9/14/2021 |
License Expiration Date | 7/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |