CA Wall License 966 Information
Name | Jennifer Henderson |
License Number | 966 |
Individual or Organization | O |
Address | 1400 Veterans Blvd
Redwood City, CA 94063 |
County | San Mateo |
License Status | Active |
License Original Issue Date | 8/4/2021 |
License Expiration Date | 8/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |