CA Wall License 3057

CA Wall License 3057 Information

Name Domenick Barbo
License Number3057
Individual or OrganizationO
Address1739 Shell Beach Rd
Pismo Beach, CA 93449
CountySan Luis Obispo
License StatusActive
License Original Issue Date6/7/2022
License Expiration Date9/30/2023
License TypeWall License
AgencyAcupuncture Board