JAKE LEE DE SOUZA

SANTA ROSA, CA
NPI1093538084
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2024-11-06
Last Update Date2024-11-06
Business Address
JAKE LEE DE SOUZA
1160 N DUTTON AVE STE 140
SANTA ROSA, CA 95401-4652
Phone number: 855-223-7123
Mailing Address
JAKE LEE DE SOUZA
PO BOX 33568
SAN DIEGO, CA 92163-3568
Phone number: 855-223-7123