CA Wall License 182

CA Wall License 182 Information

Name Tymothy Smith
License Number182
Individual or OrganizationO
Address101 West Coast Rd.
Redway, CA 95560
CountyHumboldt
License StatusActive
License Original Issue Date3/3/2021
License Expiration Date4/30/2023
License TypeWall License
AgencyAcupuncture Board