CA Wall License 3397

CA Wall License 3397 Information

Name Lucy Tan
License Number3397
Individual or OrganizationO
Address2003 B Opportunity Drive, Ste 10
Roseville, CA 95678
CountyPlacer
License StatusActive
License Original Issue Date8/9/2022
License Expiration Date8/31/2024
License TypeWall License
AgencyAcupuncture Board