CA Wall License 1351

CA Wall License 1351 Information

Name Emily Head
License Number1351
Individual or OrganizationO
Address32670 Highway 20
Suite 5
Fort Bragg, CA 95437
CountyMendocino
License StatusActive
License Original Issue Date9/14/2021
License Expiration Date7/31/2023
License TypeWall License
AgencyAcupuncture Board