CA Wall License 3402

CA Wall License 3402 Information

Name Grace Ouchida
License Number3402
Individual or OrganizationO
Address3559 Roundbarn Blvd.
Santa Rosa, CA 95403
CountySonoma
License StatusActive
License Original Issue Date8/9/2022
License Expiration Date8/31/2024
License TypeWall License
AgencyAcupuncture Board