CA Wall License 1449 Information
| Name | Myra Bautista |
| License Number | 1449 |
| Individual or Organization | O |
| Address | 80 Grand Avenue Unit 610
Oakland, CA 94612 |
| County | Alameda |
| License Status | Active |
| License Original Issue Date | 9/27/2021 |
| License Expiration Date | 11/30/2022 |
| License Type | Wall License |
| Agency | Acupuncture Board |