CA Wall License 1658 Information
Name | Marianne Benforado |
License Number | 1658 |
Individual or Organization | O |
Address | 4400 Capitola Road Suite 200 Capitola, CA 95010 |
County | Santa Cruz |
License Status | Active |
License Original Issue Date | 10/22/2021 |
License Expiration Date | 10/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |