CA Wall License 401 Information
Name | Stephanie Martin |
License Number | 401 |
Individual or Organization | O |
Address | 1545 Hotel Circle South Suite 185 San Diego, CA 92108 |
County | San Diego |
License Status | Active |
License Original Issue Date | 4/19/2021 |
License Expiration Date | 10/31/2024 |
License Type | Wall License |
Agency | Acupuncture Board |