CA Wall License 995

CA Wall License 995 Information

Name Lixia Hardison
License Number995
Individual or OrganizationO
Address4425 Jamboree Rd Ste 129
Newport Beach, CA 92660
CountyOrange
License StatusActive
License Original Issue Date8/9/2021
License Expiration Date8/31/2023
License TypeWall License
AgencyAcupuncture Board