CA Wall License 679

CA Wall License 679 Information

Name Fatima Manesh
License Number679
Individual or OrganizationO
Address4570 Campus Drive, Suite 17
Newport Beach, CA 92660
CountyOrange
License StatusActive
License Original Issue Date4/11/2013
License Expiration Date3/31/2023
License TypeWall License
AgencyAcupuncture Board