MICHAEL JEROME MANGUAL-MARQUEZ

EDISON, NJ
NPI1366953655
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2017-10-13
Last Update Date2017-10-13
Business Address
MICHAEL JEROME MANGUAL-MARQUEZ
10 PARSONAGE RD STE 318
EDISON, NJ 08837-2429
Phone number: 732-204-1635
Mailing Address
MICHAEL JEROME MANGUAL-MARQUEZ
14 JANIE LN
CLARK, NJ 07066-1304
Phone number: 732-770-0734