MICKENNA VAN GAALEN

MODESTO, CA
NPI1134839541
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2022-11-28
Last Update Date2022-12-01
Business Address
MICKENNA VAN GAALEN
1115 14TH ST
MODESTO, CA 95354-1003
Phone number: 209-572-2589
Mailing Address
MICKENNA VAN GAALEN
PO BOX 5157
MODESTO, CA 95352-5157
Phone number: