JALISA DIAZ

TRACY, CA
NPI1356844690
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: CA  18-49654)
Enumeration Date2018-03-13
Last Update Date2018-03-13
Business Address
JALISA DIAZ
510 WHISPERING WIND DR STE 110
TRACY, CA 95377-8119
Phone number: 209-572-2589
Mailing Address
JALISA DIAZ
PO BOX 5157
MODESTO, CA 95352-5157
Phone number: 209-572-2589
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