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 |