CA Wall License 355 Information
| Name | Patricia Jackson |
| License Number | 355 |
| Individual or Organization | O |
| Address | 4754 Palm Ave
La Mesa, CA 91942 |
| County | San Diego |
| License Status | Active |
| License Original Issue Date | 4/7/2021 |
| License Expiration Date | 3/31/2023 |
| License Type | Wall License |
| Agency | Acupuncture Board |