CA Wall License 3047

CA Wall License 3047 Information

Name Greta Goforth
License Number3047
Individual or OrganizationO
Address187 Calle Magdalena
Ste.214
Encinitas, CA 92024
CountySan Diego
License StatusActive
License Original Issue Date6/6/2022
License Expiration Date9/30/2023
License TypeWall License
AgencyAcupuncture Board