CA Wall License 1617 Information
Name | Phoebe Stewart |
License Number | 1617 |
Individual or Organization | O |
Address | 26285 Buscador
Mission Viejo, CA 92692 |
County | Orange |
License Status | Active |
License Original Issue Date | 10/18/2021 |
License Expiration Date | 1/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |