CA Wall License 665 Information
| Name | Tara Aceves |
| License Number | 665 |
| Individual or Organization | O |
| Address | 3151 Airway Avenue, Ste P1
Costa Mesa, CA 92626 |
| County | Orange |
| License Status | Active |
| License Original Issue Date | 10/12/2017 |
| License Expiration Date | 3/31/2023 |
| License Type | Wall License |
| Agency | Acupuncture Board |