CA Wall License 2380

CA Wall License 2380 Information

Name Marilyn Fontenrose
License Number2380
Individual or OrganizationO
Address1152 Solano Ave., Suite A
Albany, CA 94706
CountyAlameda
License StatusActive
License Original Issue Date2/15/2022
License Expiration Date10/31/2023
License TypeWall License
AgencyAcupuncture Board