CA Wall License 2360 Information
| Name | Samantha Purviance |
| License Number | 2360 |
| Individual or Organization | O |
| Address | 3565 Del Rey St Suite 207 San Diego, CA 92109 |
| County | San Diego |
| License Status | Active |
| License Original Issue Date | 2/11/2022 |
| License Expiration Date | 10/31/2023 |
| License Type | Wall License |
| Agency | Acupuncture Board |