CA Wall License 2637 Information
Name | Lifang Xie |
License Number | 2637 |
Individual or Organization | O |
Address | 2161 San Joaquin Hills Rd
Newport Beach, CA 92660 |
County | Orange |
License Status | Active |
License Original Issue Date | 3/23/2022 |
License Expiration Date | 4/30/2024 |
License Type | Wall License |
Agency | Acupuncture Board |