CA Wall License 2643 Information
Name | Roberta Lew |
License Number | 2643 |
Individual or Organization | O |
Address | 11890 Donner Pass Rd
Truckee, CA 96161 |
County | Nevada |
License Status | Active |
License Original Issue Date | 3/24/2022 |
License Expiration Date | 3/31/2024 |
License Type | Wall License |
Agency | Acupuncture Board |