CA Wall License 2612

CA Wall License 2612 Information

Name Judith Avery
License Number2612
Individual or OrganizationO
Address1434 6th Street, Ste 7
Santa Monica, CA 90401
CountyLos Angeles
License StatusActive
License Original Issue Date9/6/1988
License Expiration Date4/30/2024
License TypeWall License
AgencyAcupuncture Board