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 |