CA Wall License 1790 Information
| Name | Alexa Gonzalez |
| License Number | 1790 |
| Individual or Organization | O |
| Address | 3446 Park Blvd Suite 208
San Diego, CA 92103 |
| County | San Diego |
| License Status | Active |
| License Original Issue Date | 11/14/2021 |
| License Expiration Date | 10/31/2023 |
| License Type | Wall License |
| Agency | Acupuncture Board |