ETHAN JAMES MANVILLE

SAN LUIS OBISPO, CA
NPI1013774645
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2024-02-29
Last Update Date2024-02-29
Business Address
ETHAN JAMES MANVILLE
1212 MARSH ST
SAN LUIS OBISPO, CA 93401-3346
Phone number: 805-665-6057
Mailing Address
ETHAN JAMES MANVILLE
1212 MARSH ST
SAN LUIS OBISPO, CA 93401-3346
Phone number:
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