CA Wall License 563 Information
| Name | Lisa Phillips |
| License Number | 563 |
| Individual or Organization | O |
| Address | 6600 Bruceville Rd
Sacramento, CA 95823 |
| County | Sacramento |
| License Status | Active |
| License Original Issue Date | 5/20/2021 |
| License Expiration Date | 6/30/2023 |
| License Type | Wall License |
| Agency | Acupuncture Board |