CA Wall License 2400 Information
Name | Bianca Waxlax |
License Number | 2400 |
Individual or Organization | O |
Address | 3555 Kenyon Street, Suite 100
San Diego, CA 92110 |
County | San Diego |
License Status | Active |
License Original Issue Date | 4/29/2008 |
License Expiration Date | 4/30/2023 |
License Type | Wall License |
Agency | Acupuncture Board |