CA Wall License 278 Information
Name | Baradwaj Simha Sankar |
License Number | 278 |
Individual or Organization | O |
Address | 4820 Lincoln Blvd
Marina Del Rey, CA 90292 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 3/26/2021 |
License Expiration Date | 3/31/2024 |
License Type | Wall License |
Agency | Acupuncture Board |