JERUSHA NICHOLE WIENECKE-RASCOE

SANTA FE, NM
NPI1700423050
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2019-12-05
Last Update Date2019-12-05
Business Address
JERUSHA NICHOLE WIENECKE-RASCOE
4001 OFFICE COURT DR STE 705-707
SANTA FE, NM 87507-4929
Phone number: 505-395-9611
Mailing Address
JERUSHA NICHOLE WIENECKE-RASCOE
21600 OXNARD ST
WOODLAND HILLS, CA 91367-4976
Phone number: