CA Wall License 2640 Information
Name | Marie Raymer |
License Number | 2640 |
Individual or Organization | O |
Address | 8950 Villa La Jolla Drive Suite B-129 La Jolla, CA 92037 |
County | San Diego |
License Status | Active |
License Original Issue Date | 4/30/2008 |
License Expiration Date | 5/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |