CA Wall License 1735 Information
Name | Daron Mathena |
License Number | 1735 |
Individual or Organization | O |
Address | 1516 Main Street, Suite 105
Ramona, CA 92065 |
County | San Diego |
License Status | Active |
License Original Issue Date | 11/1/2021 |
License Expiration Date | 8/31/2024 |
License Type | Wall License |
Agency | Acupuncture Board |