CA Wall License 1435 Information
Name | Ariane Wlasak |
License Number | 1435 |
Individual or Organization | O |
Address | 10 Millwood Street, Ste 7
Mill Valley, CA 94941 |
County | Marin |
License Status | Active |
License Original Issue Date | 10/19/2017 |
License Expiration Date | 3/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |