CA Licensed Acupuncturist 17794

CA Licensed Acupuncturist 17794 Information

NameBaowen Miao
License Number17794
Individual or OrganizationI
Address839 Winifred Dr
San Jose, CA 95122
CountySanta Clara
License StatusActive
License Original Issue Date10/2/2017
License Expiration Date1/31/2023
License TypeLicensed Acupuncturist
AgencyAcupuncture Board
SchoolUniversity Of East West Medicine