CA Wall License 851 Information
Name | Cassie Dominach |
License Number | 851 |
Individual or Organization | O |
Address | 3565 Del Rey Street Suite 207
San Diego, CA 92109 |
County | San Diego |
License Status | Active |
License Original Issue Date | 7/14/2021 |
License Expiration Date | 10/31/2024 |
License Type | Wall License |
Agency | Acupuncture Board |