CA Licensed Acupuncturist 18335

CA Licensed Acupuncturist 18335 Information

NameNicolai Ivan Manalo Temporal
License Number18335
Individual or OrganizationI
Address919 E Meda Avenue
California
Glendora, CA 91741
CountyLos Angeles
License StatusDelinquent
License Original Issue Date12/20/2018
License Expiration Date12/31/2021
License TypeLicensed Acupuncturist
AgencyAcupuncture Board
SchoolSouth Baylo University