CA Wall License 3496

CA Wall License 3496 Information

Name Atsushi Kanomata
License Number3496
Individual or OrganizationO
Address821 Kuhn Drive, Suite 101
Chula Vista, CA 91914
CountySan Diego
License StatusActive
License Original Issue Date5/11/2004
License Expiration Date6/30/2023
License TypeWall License
AgencyAcupuncture Board