CA Wall License 3493

CA Wall License 3493 Information

Name Tassy Hennessy
License Number3493
Individual or OrganizationO
Address345 Santa Fe Drive
Encinitas, CA 92024
CountySan Diego
License StatusActive
License Original Issue Date3/18/2003
License Expiration Date6/30/2024
License TypeWall License
AgencyAcupuncture Board