CA Wall License 1504 Information
| Name | Matthew Silengo |
| License Number | 1504 |
| Individual or Organization | O |
| Address | 1802 Mckee Street Unit C 3 San Diego, CA 92110 |
| County | San Diego |
| License Status | Active |
| License Original Issue Date | 10/7/2021 |
| License Expiration Date | 9/30/2023 |
| License Type | Wall License |
| Agency | Acupuncture Board |