CA Wall License 3194 Information
| Name | Amy Shouse |
| License Number | 3194 |
| Individual or Organization | O |
| Address | 712 D Street Suite B1
San Rafael, CA 94901 |
| County | Marin |
| License Status | Active |
| License Original Issue Date | 6/28/2022 |
| License Expiration Date | 3/31/2023 |
| License Type | Wall License |
| Agency | Acupuncture Board |