CA Wall License 582

CA Wall License 582 Information

Name Dayna Kowata
License Number582
Individual or OrganizationO
Address116 West El Portal, Suite 102
San Clemente, CA 92672
CountyOrange
License StatusActive
License Original Issue Date5/24/2021
License Expiration Date5/31/2023
License TypeWall License
AgencyAcupuncture Board