Innerbloom Ketamine Therapy
ActiveCalifornia license 554290
License
- Licensed by
- Medical Board of California
- License number
- 554290
- Status
- Active (Current)
- First issued
- July 7, 2022
- Expires
- July 31, 2028
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
100 Casa St Ste D3
San Luis Obispo, CA 93405-5827
San Luis Obispo, CA 93405-5827
San Luis Obispo County