CA Wall License 2664

CA Wall License 2664 Information

Name Samantha Purviance
License Number2664
Individual or OrganizationO
Address18029 Calle Ambiente
Suite 500
Rancho Santa Fe, CA 92091
CountySan Diego
License StatusActive
License Original Issue Date3/29/2022
License Expiration Date10/31/2023
License TypeWall License
AgencyAcupuncture Board