CA Wall License 411

CA Wall License 411 Information

Name Marisa Puente
License Number411
Individual or OrganizationO
Address2900 Bristol St
Building G, Suite 106
Costa Mesa, CA 92626
CountyOrange
License StatusActive
License Original Issue Date4/8/2021
License Expiration Date1/31/2024
License TypeWall License
AgencyAcupuncture Board