CA Wall License 3236

CA Wall License 3236 Information

Name Diane Bousquin
License Number3236
Individual or OrganizationO
Address7634 Girard Avenue, Suite T
La Jolla, CA 92037
CountySan Diego
License StatusActive
License Original Issue Date7/6/2022
License Expiration Date6/30/2024
License TypeWall License
AgencyAcupuncture Board