JAELENE MIRACLE SUMMERALL

GARDENA, CA
NPI1649976143
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2023-02-06
Last Update Date2023-02-06
Business Address
JAELENE MIRACLE SUMMERALL
1508 W ARTESIA SQ APT B
GARDENA, CA 90248-4773
Phone number: 800-249-1266
Mailing Address
JAELENE MIRACLE SUMMERALL
1301 E ORANGEWOOD AVE
ANAHEIM, CA 92805-6807
Phone number: 800-249-1266