CA Wall License 1658

CA Wall License 1658 Information

Name Marianne Benforado
License Number1658
Individual or OrganizationO
Address4400 Capitola Road
Suite 200
Capitola, CA 95010
CountySanta Cruz
License StatusActive
License Original Issue Date10/22/2021
License Expiration Date10/31/2023
License TypeWall License
AgencyAcupuncture Board