CA Wall License 2184 Information
| Name | Kenneth Phelps |
| License Number | 2184 |
| Individual or Organization | O |
| Address | 101 The City Drive South Building 56, Suite 800, Room 831 Orange, CA 92868 |
| County | Orange |
| License Status | Active |
| License Original Issue Date | 1/18/2022 |
| License Expiration Date | 2/29/2024 |
| License Type | Wall License |
| Agency | Acupuncture Board |