CA Wall License 1705 Information
Name | Ida Candelaria |
License Number | 1705 |
Individual or Organization | O |
Address | 983 E Washington Avenue
El Cajon, CA 92020 |
County | San Diego |
License Status | Active |
License Original Issue Date | 9/25/1996 |
License Expiration Date | 10/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |