CA Licensed Acupuncturist 17874

CA Licensed Acupuncturist 17874 Information

NameTracie Alexandra Endelson
License Number17874
Individual or OrganizationI
Address1971 Venice Drive
South Lake Tahoe, CA 96150
CountyEl Dorado
License StatusActive
License Original Issue Date10/9/2017
License Expiration Date9/30/2023
License TypeLicensed Acupuncturist
AgencyAcupuncture Board
SchoolYosan University Of Tcm