FABIAN ALESSANDRO MANTILLA ULLOA

CONCORD, CA
NPI1225860331
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2024-08-16
Last Update Date2024-08-16
Business Address
FABIAN ALESSANDRO MANTILLA ULLOA
1200 CONCORD AVE STE 185
CONCORD, CA 94520-5006
Phone number: 415-745-4466
Mailing Address
FABIAN ALESSANDRO MANTILLA ULLOA
1200 CONCORD AVE STE 185
CONCORD, CA 94520-5006
Phone number: