CA Wall License 1903 Information
Name | Jennifer Clemons |
License Number | 1903 |
Individual or Organization | O |
Address | 29 Bolinas Ave
Fairfax, CA 94930 |
County | Marin |
License Status | Active |
License Original Issue Date | 12/6/2021 |
License Expiration Date | 10/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |