CA Wall License 2380 Information
Name | Marilyn Fontenrose |
License Number | 2380 |
Individual or Organization | O |
Address | 1152 Solano Ave., Suite A
Albany, CA 94706 |
County | Alameda |
License Status | Active |
License Original Issue Date | 2/15/2022 |
License Expiration Date | 10/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |