CA Wall License 679 Information
Name | Fatima Manesh |
License Number | 679 |
Individual or Organization | O |
Address | 4570 Campus Drive, Suite 17
Newport Beach, CA 92660 |
County | Orange |
License Status | Active |
License Original Issue Date | 4/11/2013 |
License Expiration Date | 3/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |