CA Wall License 1475 Information
Name | Kathleen Manza |
License Number | 1475 |
Individual or Organization | O |
Address | 303 Potrero Street, #42-306
Santa Cruz, CA 95060 |
County | Santa Cruz |
License Status | Active |
License Original Issue Date | 9/28/2021 |
License Expiration Date | 9/30/2023 |
License Type | Wall License |
Agency | Acupuncture Board |