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1326891417
THERESA ENRIQUEZ
FREMONT, CA
NPI
1326891417
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA 46-1305562)
Enumeration Date
2024-04-08
Last Update Date
2024-04-08
Business Address
THERESA ENRIQUEZ
39210 STATE ST STE 220
FREMONT, CA 94538-1456
Phone number: 510-894-4135
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Mailing Address
THERESA ENRIQUEZ
23280 STONEWALL AVE
HAYWARD, CA 94541-7214
Phone number: 510-384-7713
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