CA Wall License 612 Information
| Name | Lea Kelley |
| License Number | 612 |
| Individual or Organization | O |
| Address | 3215 Highland Ave
Manhattan Beach, CA 90266 |
| County | Los Angeles |
| License Status | Active |
| License Original Issue Date | 6/3/2021 |
| License Expiration Date | 6/30/2023 |
| License Type | Wall License |
| Agency | Acupuncture Board |