CA Wall License 3210

CA Wall License 3210 Information

Name Mary Long
License Number3210
Individual or OrganizationO
Address4301 Atlantic Ave
Suite 5
Long Beach, CA 90807
CountyLos Angeles
License StatusActive
License Original Issue Date7/1/2022
License Expiration Date7/31/2024
License TypeWall License
AgencyAcupuncture Board