DERRICK ACE PHOMMACHIT

NEWARK, CA
NPI1467214403
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2024-01-25
Last Update Date2024-01-25
Business Address
DERRICK ACE PHOMMACHIT
39899 BALENTINE DR STE 110
NEWARK, CA 94560-5356
Phone number: 855-223-7123
Mailing Address
DERRICK ACE PHOMMACHIT
PO BOX 33568
SAN DIEGO, CA 92163-3568
Phone number: 855-223-7123
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