MICHAEL D FORKS

ANTIOCH, CA
NPI1225500010
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2018-12-18
Last Update Date2018-12-18
Business Address
MICHAEL D FORKS
4849 LONE TREE WAY
ANTIOCH, CA 94531-8644
Phone number: 925-462-2281
Mailing Address
MICHAEL D FORKS
5064 TEHACHAPI WAY
ANTIOCH, CA 94531-8807
Phone number: 415-774-6349