CA Wall License 1865 Information
Name | Dena Ito |
License Number | 1865 |
Individual or Organization | O |
Address | 2000 Van Ness Ave, Unit 706
San Francisco, CA 94109 |
County | San Francisco |
License Status | Active |
License Original Issue Date | 11/30/2021 |
License Expiration Date | 3/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |