ELIZHA-GRACE FONTANILLA FULGENCIO

LAKEWOOD, WA
NPI1528712320
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2022-02-10
Last Update Date2022-02-10
Business Address
ELIZHA-GRACE FONTANILLA FULGENCIO
4606 108TH ST SW
LAKEWOOD, WA 98499-4146
Phone number: 253-693-2626
Mailing Address
ELIZHA-GRACE FONTANILLA FULGENCIO
1107 E 72ND ST
TACOMA, WA 98404-5801
Phone number: 206-419-8952
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