CA Wall License 2179

CA Wall License 2179 Information

Name Jessica Powell
License Number2179
Individual or OrganizationO
Address4170 Gross Rd #6
Capitola, CA 95010
CountySanta Cruz
License StatusActive
License Original Issue Date1/18/2022
License Expiration Date12/31/2023
License TypeWall License
AgencyAcupuncture Board