CA Wall License 2929

CA Wall License 2929 Information

Name Tayah Hatagwila
License Number2929
Individual or OrganizationO
Address1729 Seabright, Ste E
Santa Cruz, CA 95062
CountySanta Cruz
License StatusActive
License Original Issue Date5/7/2013
License Expiration Date10/30/2024
License TypeWall License
AgencyAcupuncture Board