CA Wall License 822 Information
Name | Vinjamury Sivarama Prasad |
License Number | 822 |
Individual or Organization | O |
Address | 14758 Beach Blvd
La Mirada, CA 90638 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 7/10/2021 |
License Expiration Date | 7/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |