CA Wall License 609 Information
Name | Melissa Kallsen |
License Number | 609 |
Individual or Organization | O |
Address | 1011 Devonshire Dr. Suite B Encinitas, CA 92024 |
County | San Diego |
License Status | Active |
License Original Issue Date | 6/2/2021 |
License Expiration Date | 5/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |