CA Wall License 2119 Information
| Name | Carol Song |
| License Number | 2119 |
| Individual or Organization | O |
| Address | 1000 Vale Terrace Dr
Vista, CA 92084 |
| County | San Diego |
| License Status | Active |
| License Original Issue Date | 1/5/2022 |
| License Expiration Date | 1/31/2024 |
| License Type | Wall License |
| Agency | Acupuncture Board |