CA Wall License 3232

CA Wall License 3232 Information

Name Tara Shah
License Number3232
Individual or OrganizationO
Address3150 El Camino Real
Suite G
Carlsbad, CA 92008
CountySan Diego
License StatusActive
License Original Issue Date7/7/2022
License Expiration Date9/30/2023
License TypeWall License
AgencyAcupuncture Board