CA Wall License 865 Information
| Name | Miriam Delosantos |
| License Number | 865 |
| Individual or Organization | O |
| Address | 1453 E Main Street
Ventura, CA 93001 |
| County | Ventura |
| License Status | Active |
| License Original Issue Date | 11/13/2007 |
| License Expiration Date | 2/28/2023 |
| License Type | Wall License |
| Agency | Acupuncture Board |