CA Wall License 491 Information
Name | Grace Enriquez |
License Number | 491 |
Individual or Organization | O |
Address | 1000 Business Center Circle, Suite 206
Newbury Park, CA 91320 |
County | Ventura |
License Status | Active |
License Original Issue Date | 5/5/2021 |
License Expiration Date | 5/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |