CA Wall License 1759 Information
| Name | Xiao Song |
| License Number | 1759 |
| Individual or Organization | O |
| Address | 1942 Del Paso Rd, Suite 130
Sacramento, CA 95834 |
| County | Sacramento |
| License Status | Active |
| License Original Issue Date | 11/9/2021 |
| License Expiration Date | 11/30/2023 |
| License Type | Wall License |
| Agency | Acupuncture Board |