CLARENCE-JAMAL DALTON LEWIS

STOCKTON, CA
NPI1538918610
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2024-05-13
Last Update Date2024-05-13
Business Address
CLARENCE-JAMAL DALTON LEWIS
2453 GRAND CANAL BLVD STE A
STOCKTON, CA 95207-8138
Phone number: 855-223-7123
Mailing Address
CLARENCE-JAMAL DALTON LEWIS
PO BOX 33568
SAN DIEGO, CA 92163-3568
Phone number: 855-223-7123