CA Wall License 1978 Information
Name | Diveley Geno |
License Number | 1978 |
Individual or Organization | O |
Address | 4225 Balboa Ave
Rancho San Diego, CA 92117 |
County | San Diego |
License Status | Active |
License Original Issue Date | 12/16/2021 |
License Expiration Date | 1/31/2024 |
License Type | Wall License |
Agency | Acupuncture Board |