CA Wall License 2361

CA Wall License 2361 Information

Name Jia Tao
License Number2361
Individual or OrganizationO
Address10062 Miller Ave Ste # 220
Cupertino, CA 95014
CountySanta Clara
License StatusActive
License Original Issue Date2/10/2022
License Expiration Date1/31/2024
License TypeWall License
AgencyAcupuncture Board