CA Wall License 1659 Information
Name | Shi Yan Xu |
License Number | 1659 |
Individual or Organization | O |
Address | 206 E Las Tunas Drive #9
San Gabriel, CA 91776 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 1/7/2014 |
License Expiration Date | 1/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |