CA Wall License 2383

CA Wall License 2383 Information

Name Jennifer Tom
License Number2383
Individual or OrganizationO
Address1207 Carlsbad Village Drive, Suite T
Carlsbad, CA 92008
CountySan Diego
License StatusActive
License Original Issue Date2/16/2022
License Expiration Date2/29/2024
License TypeWall License
AgencyAcupuncture Board