CA Wall License 2264 Information
| Name | Amanda Sullivan-Antonetti |
| License Number | 2264 |
| Individual or Organization | O |
| Address | 5 Bon Air Rd Suite 109 Larkspur, CA 94939 |
| County | Marin |
| License Status | Active |
| License Original Issue Date | 1/26/2022 |
| License Expiration Date | 1/31/2024 |
| License Type | Wall License |
| Agency | Acupuncture Board |