SEBASTIAN TARO JEWELL-WIERTALLA

GRAND RAPIDS, MI
NPI1205522919
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2023-04-14
Last Update Date2023-04-14
Business Address
SEBASTIAN TARO JEWELL-WIERTALLA
120 STEVENS ST SW
GRAND RAPIDS, MI 49507-1526
Phone number: 855-832-6727
Mailing Address
SEBASTIAN TARO JEWELL-WIERTALLA
PO BOX 150652
GRAND RAPIDS, MI 49515-0652
Phone number: 231-633-9516
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