CA Wall License 3005

CA Wall License 3005 Information

Name Mackenzie Hall
License Number3005
Individual or OrganizationO
Address21 Tamal Vista Blvd Suite 219
Corte Madera, CA 94925
CountyMarin
License StatusActive
License Original Issue Date5/27/2022
License Expiration Date3/31/2024
License TypeWall License
AgencyAcupuncture Board