JEVON (J.L.) LATHAN MCKINNON

SAN MATEO, CA
NPI1760290191
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: CA  106S00000X)
Enumeration Date2024-12-18
Last Update Date2024-12-18
Business Address
-- JEVON (J.L.) LATHAN MCKINNON
424 PENINSULA AVE
SAN MATEO, CA 94401-1653
Phone number: 650-286-4396
Mailing Address
-- JEVON (J.L.) LATHAN MCKINNON
2524 JONES RD APT 1
WALNUT CREEK, CA 94597-3159
Phone number: 925-495-3099
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