CA Wall License 2236 Information
| Name | Phanthong Mesomsub |
| License Number | 2236 |
| Individual or Organization | O |
| Address | 1021 Sanchez Street
San Francisco, CA 94114 |
| County | San Francisco |
| License Status | Active |
| License Original Issue Date | 1/25/2022 |
| License Expiration Date | 12/31/2022 |
| License Type | Wall License |
| Agency | Acupuncture Board |