ERNESTO BASA

RANCHO CORDOVA, CA
NPI1134633753
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2017-11-17
Last Update Date2017-11-17
Business Address
ERNESTO BASA
11740 LOISDALE WAY
RANCHO CORDOVA, CA 95742-8028
Phone number: 916-402-5126
Mailing Address
ERNESTO BASA
11740 LOISDALE WAY
RANCHO CORDOVA, CA 95742-8028
Phone number: 916-402-5126