CA Wall License 3496 Information
Name | Atsushi Kanomata |
License Number | 3496 |
Individual or Organization | O |
Address | 821 Kuhn Drive, Suite 101
Chula Vista, CA 91914 |
County | San Diego |
License Status | Active |
License Original Issue Date | 5/11/2004 |
License Expiration Date | 6/30/2023 |
License Type | Wall License |
Agency | Acupuncture Board |