CA Wall License 3577

CA Wall License 3577 Information

Name Xiao Xu
License Number3577
Individual or OrganizationO
Address12381 Wilshire Blvd #104
Los Angeles, CA 90025
CountyLos Angeles
License StatusActive
License Original Issue Date9/21/1992
License Expiration Date8/31/2024
License TypeWall License
AgencyAcupuncture Board