CA Wall License 2684 Information
| Name | Lisa Mireles |
| License Number | 2684 |
| Individual or Organization | O |
| Address | 5512 East Britton Drive, Suite 100
Long Beach, CA 90815 |
| County | Los Angeles |
| License Status | Active |
| License Original Issue Date | 4/2/2022 |
| License Expiration Date | 1/31/2024 |
| License Type | Wall License |
| Agency | Acupuncture Board |