CA Wall License 2825

CA Wall License 2825 Information

Name Nirada Phaphant
License Number2825
Individual or OrganizationO
Address1155 S. Beverly Drive
Los Angeles, CA 90035
CountyLos Angeles
License StatusActive
License Original Issue Date4/25/2022
License Expiration Date4/30/2024
License TypeWall License
AgencyAcupuncture Board