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 |