CA Wall License 3863 Information
Name | Son Nguyen |
License Number | 3863 |
Individual or Organization | O |
Address | 643 W 6th Street
San Pedro, CA 90731 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 3/19/2003 |
License Expiration Date | 9/30/2024 |
License Type | Wall License |
Agency | Acupuncture Board |