CA Wall License 2825 Information
Name | Nirada Phaphant |
License Number | 2825 |
Individual or Organization | O |
Address | 1155 S. Beverly Drive
Los Angeles, CA 90035 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 4/25/2022 |
License Expiration Date | 4/30/2024 |
License Type | Wall License |
Agency | Acupuncture Board |