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 |