CA Wall License 923

CA Wall License 923 Information

Name Dia Vickery
License Number923
Individual or OrganizationO
Address20700 Ventura Blvd., Suite 229
Woodland Hills, CA 91364
CountyLos Angeles
License StatusActive
License Original Issue Date7/27/2021
License Expiration Date8/31/2023
License TypeWall License
AgencyAcupuncture Board