CA Wall License 741

CA Wall License 741 Information

Name Mia Stableford
License Number741
Individual or OrganizationO
Address3559 Round Barn Blvd.
Santa Rosa, CA 95403
CountySonoma
License StatusActive
License Original Issue Date6/30/2021
License Expiration Date1/31/2023
License TypeWall License
AgencyAcupuncture Board