CA Wall License 3165 Information
Name | Walter Homberg |
License Number | 3165 |
Individual or Organization | O |
Address | 95 Motgomery Dr., Suite 112
Santa Rosa, CA 95404 |
County | Sonoma |
License Status | Active |
License Original Issue Date | 6/21/2022 |
License Expiration Date | 1/31/2024 |
License Type | Wall License |
Agency | Acupuncture Board |