CA Wall License 607

CA Wall License 607 Information

Name Kevin De Comines
License Number607
Individual or OrganizationO
Address12401 Wilshire Ave Suite 103
W Los Angeles, CA 90025
CountyLos Angeles
License StatusActive
License Original Issue Date6/1/2021
License Expiration Date7/31/2023
License TypeWall License
AgencyAcupuncture Board