JACOB S TAN

RANCHO CUCAMONGA, CA
NPI1588452197
Other NameJAKE S TAN
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: CA  25-431182)
Enumeration Date2025-04-25
Last Update Date2025-04-25
Business Address
JACOB S TAN
9600 CENTER AVE STE 160
RANCHO CUCAMONGA, CA 91730-5838
Phone number: 858-264-5858
Mailing Address
JACOB S TAN
733 W LINDEN ST APT A6610
RIVERSIDE, CA 92507-3956
Phone number: