IVY GLAZE VIDAD

STOCKTON, CA
NPI1700393428
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
(Licence: CA  1212345)
Enumeration Date2018-01-03
Last Update Date2021-08-19
Business Address
IVY GLAZE VIDAD
2453 GRAND CANAL BLVD STE A
STOCKTON, CA 95207-8259
Phone number: 855-223-7123
Mailing Address
IVY GLAZE VIDAD
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 855-223-7123
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