CA Wall License 1501

CA Wall License 1501 Information

Name Julie Broder
License Number1501
Individual or OrganizationO
Address12704 Hwy 9
Boulder Creek, CA 95006
CountySanta Cruz
License StatusActive
License Original Issue Date10/7/2021
License Expiration Date10/31/2023
License TypeWall License
AgencyAcupuncture Board