FANTASIA MICKENS

MONROVIA, CA
NPI1164135711
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2022-12-28
Last Update Date2022-12-28
Business Address
FANTASIA MICKENS
1333 S MAYFLOWER AVE STE 220
MONROVIA, CA 91016-5239
Phone number: 818-241-6780
Mailing Address
FANTASIA MICKENS
1333 S MAYFLOWER AVE STE 220
MONROVIA, CA 91016-5239
Phone number: 201-780-1589
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