CA Wall License 2432

CA Wall License 2432 Information

Name Farangis Tavily
License Number2432
Individual or OrganizationO
Address150 Shoreline Hwy B, Suite 20
Mill Valley, CA 94941
CountyMarin
License StatusActive
License Original Issue Date10/23/1984
License Expiration Date1/31/2024
License TypeWall License
AgencyAcupuncture Board