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 |