CA Wall License 3470

CA Wall License 3470 Information

Name Tara Diaz
License Number3470
Individual or OrganizationO
Address519 Main Street
El Segundo, CA 90245
CountyLos Angeles
License StatusActive
License Original Issue Date8/22/2022
License Expiration Date9/30/2024
License TypeWall License
AgencyAcupuncture Board