CA Wall License 1623 Information
Name | Faith Newell |
License Number | 1623 |
Individual or Organization | O |
Address | 411 Dayloma Ave.
Ventura, CA 93003 |
County | Ventura |
License Status | Active |
License Original Issue Date | 2/9/2000 |
License Expiration Date | 10/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |