CA Wall License 2123 Information
| Name | Wendy Ballen |
| License Number | 2123 |
| Individual or Organization | O |
| Address | 628 Frederick Street
Santa Cruz, CA 95062 |
| County | Santa Cruz |
| License Status | Active |
| License Original Issue Date | 7/17/1996 |
| License Expiration Date | 12/31/2023 |
| License Type | Wall License |
| Agency | Acupuncture Board |