CA Wall License 1659

CA Wall License 1659 Information

Name Shi Yan Xu
License Number1659
Individual or OrganizationO
Address206 E Las Tunas Drive #9
San Gabriel, CA 91776
CountyLos Angeles
License StatusActive
License Original Issue Date1/7/2014
License Expiration Date1/31/2023
License TypeWall License
AgencyAcupuncture Board