CA Wall License 2664 Information
Name | Samantha Purviance |
License Number | 2664 |
Individual or Organization | O |
Address | 18029 Calle Ambiente Suite 500 Rancho Santa Fe, CA 92091 |
County | San Diego |
License Status | Active |
License Original Issue Date | 3/29/2022 |
License Expiration Date | 10/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |