CA Wall License 3183 Information
Name | J Miranda Brocki |
License Number | 3183 |
Individual or Organization | O |
Address | 801 Georgina Avenue
Santa Monica, CA 90402 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 6/24/2022 |
License Expiration Date | 6/30/2024 |
License Type | Wall License |
Agency | Acupuncture Board |