CA Wall License 2084 Information
| Name | Jessida Putkaew |
| License Number | 2084 |
| Individual or Organization | O |
| Address | 1414 Castro St.
San Francisco, CA 94114 |
| County | San Francisco |
| License Status | Active |
| License Original Issue Date | 1/3/2022 |
| License Expiration Date | 4/30/2023 |
| License Type | Wall License |
| Agency | Acupuncture Board |