CA Wall License 3872 Information
Name | Deborahlise Mota |
License Number | 3872 |
Individual or Organization | O |
Address | 626 Jefferson Avenue, Suite 3
Redwood City, CA 94063 |
County | San Mateo |
License Status | Active |
License Original Issue Date | 7/14/2022 |
License Expiration Date | 8/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |