CA Wall License 498 Information
Name | Andrea Lazarin |
License Number | 498 |
Individual or Organization | O |
Address | 6536 Telegraph Ave A201
Oakland, CA 94609 |
County | Alameda |
License Status | Active |
License Original Issue Date | 5/6/2021 |
License Expiration Date | 3/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |