CA Wall License 1709 Information
| Name | Paul Simon |
| License Number | 1709 |
| Individual or Organization | O |
| Address | 2801 Waterman Blvd
Fairfield, CA 94534 |
| County | Solano |
| License Status | Active |
| License Original Issue Date | 4/15/2002 |
| License Expiration Date | 11/30/2023 |
| License Type | Wall License |
| Agency | Acupuncture Board |