CA Wall License 1419 Information
Name | Andrea Werner |
License Number | 1419 |
Individual or Organization | O |
Address | 1432 Wildmeadow Place
Encinitas, CA 92024 |
County | San Diego |
License Status | Active |
License Original Issue Date | 4/18/2006 |
License Expiration Date | 7/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |