CA Wall License 1501 Information
Name | Julie Broder |
License Number | 1501 |
Individual or Organization | O |
Address | 12704 Hwy 9
Boulder Creek, CA 95006 |
County | Santa Cruz |
License Status | Active |
License Original Issue Date | 10/7/2021 |
License Expiration Date | 10/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |