CA Wall License 2172 Information
Name | Socheat Pream |
License Number | 2172 |
Individual or Organization | O |
Address | 3525 Firestone Blvd
South Gate, CA 90280 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 1/16/2022 |
License Expiration Date | 3/31/2024 |
License Type | Wall License |
Agency | Acupuncture Board |