MALCOLM JAMAAL LANE

SAN JOSE, CA
NPI1003311200
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2018-03-28
Last Update Date2018-03-28
Business Address
MALCOLM JAMAAL LANE
75 E SANTA CLARA ST
SAN JOSE, CA 95113-1827
Phone number: 866-227-1211
Mailing Address
MALCOLM JAMAAL LANE
32530 PULASKI DR
HAYWARD, CA 94544-8223
Phone number: 510-331-3307