CA Wall License 564

CA Wall License 564 Information

Name Lisa Phillips
License Number564
Individual or OrganizationO
Address1675 Alhambra Blvd
Unit B
Sacramento, CA 95816
CountySacramento
License StatusActive
License Original Issue Date5/20/2021
License Expiration Date6/30/2023
License TypeWall License
AgencyAcupuncture Board