CA Wall License 1483 Information
| Name | Xiaofen Shen |
| License Number | 1483 |
| Individual or Organization | O |
| Address | 811 Altos Oaks Dr. Ste1
Los Altos, CA 94024 |
| County | Santa Clara |
| License Status | Delinquent |
| License Original Issue Date | 10/1/2021 |
| License Expiration Date | 2/28/2022 |
| License Type | Wall License |
| Agency | Acupuncture Board |