CA Wall License 2178

CA Wall License 2178 Information

Name Jessica Powell
License Number2178
Individual or OrganizationO
Address5617 Scotts Valley Dr Suite 180
Scotts Valley, CA 95066
CountySanta Cruz
License StatusActive
License Original Issue Date1/18/2022
License Expiration Date12/31/2023
License TypeWall License
AgencyAcupuncture Board