CA Wall License 2184

CA Wall License 2184 Information

Name Kenneth Phelps
License Number2184
Individual or OrganizationO
Address101 The City Drive South
Building 56, Suite 800, Room 831
Orange, CA 92868
CountyOrange
License StatusActive
License Original Issue Date1/18/2022
License Expiration Date2/29/2024
License TypeWall License
AgencyAcupuncture Board