CA Wall License 1612

CA Wall License 1612 Information

Name Jungeun Nam
License Number1612
Individual or OrganizationO
Address12568 W Washington Blvd
Ste 202
Culver City, CA 90066
CountyLos Angeles
License StatusActive
License Original Issue Date10/17/2021
License Expiration Date10/31/2023
License TypeWall License
AgencyAcupuncture Board