ANTHONY JUSTIN WALLACE

KENT, WA
NPI1417635335
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2023-07-10
Last Update Date2023-07-10
Business Address
ANTHONY JUSTIN WALLACE
8725 S 212TH ST BLDG E
KENT, WA 98031-1921
Phone number: 425-658-3017
Mailing Address
ANTHONY JUSTIN WALLACE
8725 S 212TH ST
KENT, WA 98031-1921
Phone number:
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