CA Wall License 896

CA Wall License 896 Information

Name Byron Fong
License Number896
Individual or OrganizationO
Address6001 Shellmound Street
Emeryville, CA 94608
CountyAlameda
License StatusActive
License Original Issue Date8/30/1983
License Expiration Date2/29/2024
License TypeWall License
AgencyAcupuncture Board