CA Wall License 3210 Information
Name | Mary Long |
License Number | 3210 |
Individual or Organization | O |
Address | 4301 Atlantic Ave Suite 5 Long Beach, CA 90807 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 7/1/2022 |
License Expiration Date | 7/31/2024 |
License Type | Wall License |
Agency | Acupuncture Board |