CA Wall License 2519

CA Wall License 2519 Information

Name Deborah Fowler
License Number2519
Individual or OrganizationO
Address10597 Bragg Ave
Grass Valley, CA 95945
CountyNevada
License StatusActive
License Original Issue Date3/5/2022
License Expiration Date1/31/2024
License TypeWall License
AgencyAcupuncture Board