LAFAYETTE LEVAN PORTER IV

SAN JOSE, CA
NPI1164278230
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2024-04-29
Last Update Date2024-04-29
Business Address
LAFAYETTE LEVAN PORTER IV
1887 MONTEREY HWY STE 225
SAN JOSE, CA 95112-6192
Phone number: 855-223-7123
Mailing Address
LAFAYETTE LEVAN PORTER IV
PO BOX 33568
SAN DIEGO, CA 92163-3568
Phone number: 855-223-7123
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