CA Wall License 2361 Information
Name | Jia Tao |
License Number | 2361 |
Individual or Organization | O |
Address | 10062 Miller Ave Ste # 220
Cupertino, CA 95014 |
County | Santa Clara |
License Status | Active |
License Original Issue Date | 2/10/2022 |
License Expiration Date | 1/31/2024 |
License Type | Wall License |
Agency | Acupuncture Board |