CA Wall License 1381 Information
Name | Elena Shateni |
License Number | 1381 |
Individual or Organization | O |
Address | 1448 15th Street, Suite 105
Santa Monica, CA 90404 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 4/27/2006 |
License Expiration Date | 8/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |