CA Wall License 2530 Information
Name | Xu Fang |
License Number | 2530 |
Individual or Organization | O |
Address | 939 S Atlantic Blvd, Suite 107
Monterey Park, CA 91754 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 12/10/2018 |
License Expiration Date | 2/29/2024 |
License Type | Wall License |
Agency | Acupuncture Board |