CA Wall License 71

CA Wall License 71 Information

Name Lisa Y Wang
License Number71
Individual or OrganizationO
Address1340 S. De Anza Blvd.
San Jose, CA 95129
CountySanta Clara
License StatusActive
License Original Issue Date2/1/2021
License Expiration Date1/31/2023
License TypeWall License
AgencyAcupuncture Board