CA Wall License 822

CA Wall License 822 Information

Name Vinjamury Sivarama Prasad
License Number822
Individual or OrganizationO
Address14758 Beach Blvd
La Mirada, CA 90638
CountyLos Angeles
License StatusActive
License Original Issue Date7/10/2021
License Expiration Date7/31/2023
License TypeWall License
AgencyAcupuncture Board