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 |