CA Wall License 411 Information
| Name | Marisa Puente |
| License Number | 411 |
| Individual or Organization | O |
| Address | 2900 Bristol St Building G, Suite 106 Costa Mesa, CA 92626 |
| County | Orange |
| License Status | Active |
| License Original Issue Date | 4/8/2021 |
| License Expiration Date | 1/31/2024 |
| License Type | Wall License |
| Agency | Acupuncture Board |