CA Wall License 2179 Information
Name | Jessica Powell |
License Number | 2179 |
Individual or Organization | O |
Address | 4170 Gross Rd #6
Capitola, CA 95010 |
County | Santa Cruz |
License Status | Active |
License Original Issue Date | 1/18/2022 |
License Expiration Date | 12/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |