CA Wall License 287

CA Wall License 287 Information

Name Virginia Prior
License Number287
Individual or OrganizationO
Address510 N.Prospect Ave., Suite 208
Redondo Beach, CA 90277
CountyLos Angeles
License StatusActive
License Original Issue Date10/31/2005
License Expiration Date3/31/2023
License TypeWall License
AgencyAcupuncture Board