CA Wall License 2360

CA Wall License 2360 Information

Name Samantha Purviance
License Number2360
Individual or OrganizationO
Address3565 Del Rey St
Suite 207
San Diego, CA 92109
CountySan Diego
License StatusActive
License Original Issue Date2/11/2022
License Expiration Date10/31/2023
License TypeWall License
AgencyAcupuncture Board