ITZEL COSS

MODESTO, CA
NPI1760984504
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: CA  17-43144)
Enumeration Date2018-03-07
Last Update Date2018-03-07
Business Address
ITZEL COSS
1115 14TH ST
MODESTO, CA 95354-1003
Phone number: 209-572-2589
Mailing Address
ITZEL COSS
PO BOX 5157
MODESTO, CA 95352-5157
Phone number: 209-572-2589