JONAH MICHAEL MANIVONG

SANTA CRUZ, CA
NPI1174398861
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2023-11-22
Last Update Date2023-11-22
Business Address
JONAH MICHAEL MANIVONG
8030 SOQUEL AVE STE 104
SANTA CRUZ, CA 95062-2096
Phone number: 855-223-7123
Mailing Address
JONAH MICHAEL MANIVONG
PO BOX 33568
SAN DIEGO, CA 92163-3568
Phone number: 855-223-7123