CA Wall License 2363 Information
Name | Jia Tao |
License Number | 2363 |
Individual or Organization | O |
Address | 230 Fremont Hub Courtyard
Fremont, CA 94538 |
County | Alameda |
License Status | Active |
License Original Issue Date | 2/10/2022 |
License Expiration Date | 1/31/2024 |
License Type | Wall License |
Agency | Acupuncture Board |