CA Wall License 1788 Information
| Name | Constance Prodromou |
| License Number | 1788 |
| Individual or Organization | O |
| Address | 710 C Street Suite 210 San Rafael, CA 94901 |
| County | Marin |
| License Status | Active |
| License Original Issue Date | 11/13/2021 |
| License Expiration Date | 11/30/2023 |
| License Type | Wall License |
| Agency | Acupuncture Board |