CA Wall License 697 Information
| Name | Melinda Phoenix |
| License Number | 697 |
| Individual or Organization | O |
| Address | 14301 Arnold Drive
Glen Ellen, CA 95442 |
| County | Sonoma |
| License Status | Active |
| License Original Issue Date | 5/16/2017 |
| License Expiration Date | 1/31/2023 |
| License Type | Wall License |
| Agency | Acupuncture Board |