JACK GREGORY LARSEN

TACOMA, WA
NPI1619526928
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2019-09-09
Last Update Date2019-09-09
Business Address
JACK GREGORY LARSEN
4412 6TH AVE
TACOMA, WA 98406-3500
Phone number: 253-285-7180
Mailing Address
JACK GREGORY LARSEN
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345