CA Wall License 1810 Information
Name | Wirifran Fernandes De Andrade |
License Number | 1810 |
Individual or Organization | O |
Address | 842 Washington St. Suite B
San Diego, CA 92103 |
County | San Diego |
License Status | Active |
License Original Issue Date | 11/17/2021 |
License Expiration Date | 3/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |