CA Wall License 1978

CA Wall License 1978 Information

Name Diveley Geno
License Number1978
Individual or OrganizationO
Address4225 Balboa Ave
Rancho San Diego, CA 92117
CountySan Diego
License StatusActive
License Original Issue Date12/16/2021
License Expiration Date1/31/2024
License TypeWall License
AgencyAcupuncture Board