CA Wall License 1619 Information
Name | Xiaowu Wang |
License Number | 1619 |
Individual or Organization | O |
Address | 1200 Suncast Lane, Suite 1
El Dorado Hills, CA 95762 |
County | El Dorado |
License Status | Active |
License Original Issue Date | 9/30/2021 |
License Expiration Date | 11/30/2023 |
License Type | Wall License |
Agency | Acupuncture Board |