CA Wall License 1674 Information
Name | Stephanie Albert |
License Number | 1674 |
Individual or Organization | O |
Address | 1212 Farmers Lane #3 Santa Rosa, CA 95405 |
County | Sonoma |
License Status | Active |
License Original Issue Date | 10/25/2021 |
License Expiration Date | 10/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |