EDGAR IVAN IZEHUATL

SACRAMENTO, CA
NPI1265902886
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2018-11-26
Last Update Date2018-11-26
Business Address
EDGAR IVAN IZEHUATL
1300 ETHAN WAY SUITE 175
SACRAMENTO, CA 95825
Phone number: 209-521-4791
Mailing Address
EDGAR IVAN IZEHUATL
3425 COFFE RD SUITE C2
MODESTO, CA 95355
Phone number: 209-521-4791
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