CA Wall License 1569

CA Wall License 1569 Information

Name Asha Randall
License Number1569
Individual or OrganizationO
Address21355 Pacific Coast Hwy
Malibu, CA 90265
CountyLos Angeles
License StatusActive
License Original Issue Date4/19/2006
License Expiration Date8/31/2023
License TypeWall License
AgencyAcupuncture Board