CA Wall License 616 Information
| Name | Xiu Fen Pan |
| License Number | 616 |
| Individual or Organization | O |
| Address | 1840 San Miguel Dr, Ste 203
Walnut Creek, CA 94596 |
| County | Contra Costa |
| License Status | Active |
| License Original Issue Date | 6/3/2021 |
| License Expiration Date | 6/30/2023 |
| License Type | Wall License |
| Agency | Acupuncture Board |