CA Wall License 1913 Information
Name | Nicole Fancher |
License Number | 1913 |
Individual or Organization | O |
Address | 3420 22nd Street
San Francisco, CA 94110 |
County | San Francisco |
License Status | Active |
License Original Issue Date | 3/17/2008 |
License Expiration Date | 8/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |