CA Wall License 2472

CA Wall License 2472 Information

Name Philip Gallo
License Number2472
Individual or OrganizationO
Address345 S Coast Hwy 101
Encinitas, CA 92024
CountySan Diego
License StatusActive
License Original Issue Date3/23/2010
License Expiration Date2/29/2024
License TypeWall License
AgencyAcupuncture Board