CA Wall License 3247

CA Wall License 3247 Information

Name Diane Bousquin
License Number3247
Individual or OrganizationO
Address3737 Moraga Avenue
Suite A308
San Diego, CA 92117
CountySan Diego
License StatusActive
License Original Issue Date7/8/2022
License Expiration Date6/30/2024
License TypeWall License
AgencyAcupuncture Board