CA Wall License 3202 Information
Name | Dianne Mallik |
License Number | 3202 |
Individual or Organization | O |
Address | 15731 Bernardo Heights Parkway Suite 122 San Diego, CA 92128 |
County | San Diego |
License Status | Active |
License Original Issue Date | 6/30/2022 |
License Expiration Date | 6/30/2024 |
License Type | Wall License |
Agency | Acupuncture Board |