CA Wall License 491

CA Wall License 491 Information

Name Grace Enriquez
License Number491
Individual or OrganizationO
Address1000 Business Center Circle, Suite 206
Newbury Park, CA 91320
CountyVentura
License StatusActive
License Original Issue Date5/5/2021
License Expiration Date5/31/2023
License TypeWall License
AgencyAcupuncture Board