CA Wall License 1418 Information
Name | Andrea Winchester-Chang |
License Number | 1418 |
Individual or Organization | O |
Address | 1448 15th Street #107
Santa Monica, CA 90404 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 9/29/2016 |
License Expiration Date | 9/30/2023 |
License Type | Wall License |
Agency | Acupuncture Board |