ADESUWA PHYLLIS IMADE

FORT WORTH, TX
NPI1538633581
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2019-01-13
Last Update Date2019-01-13
Business Address
Miss ADESUWA PHYLLIS IMADE
1751 RIVER RUN # 200
FORT WORTH, TX 76107-6644
Phone number: 818-345-2345
Mailing Address
Miss ADESUWA PHYLLIS IMADE
21600 OXNARD ST
WOODLAND HILLS, CA 91367-4976
Phone number: 818-345-2345