CA Wall License 2456 Information
Name | Marisa Puente |
License Number | 2456 |
Individual or Organization | O |
Address | 3551 Avenida Mira Costa Ste N San Clemente, CA 92672 |
County | Orange |
License Status | Active |
License Original Issue Date | 2/25/2022 |
License Expiration Date | 1/31/2024 |
License Type | Wall License |
Agency | Acupuncture Board |