CA Wall License 564 Information
Name | Lisa Phillips |
License Number | 564 |
Individual or Organization | O |
Address | 1675 Alhambra Blvd Unit B Sacramento, CA 95816 |
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 |