CA Wall License 3872

CA Wall License 3872 Information

Name Deborahlise Mota
License Number3872
Individual or OrganizationO
Address626 Jefferson Avenue, Suite 3
Redwood City, CA 94063
CountySan Mateo
License StatusActive
License Original Issue Date7/14/2022
License Expiration Date8/31/2023
License TypeWall License
AgencyAcupuncture Board