CA Wall License 604 Information
| Name | Stephanie Fish |
| License Number | 604 |
| Individual or Organization | O |
| Address | 4638 Park Blvd
San Diego, CA 92116 |
| County | San Diego |
| License Status | Delinquent |
| License Original Issue Date | 6/2/2021 |
| License Expiration Date | 7/31/2022 |
| License Type | Wall License |
| Agency | Acupuncture Board |