JOSIAH JOAQUIN LAUREL

MODESTO, CA
NPI1780217547
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2020-02-19
Last Update Date2020-02-19
Business Address
JOSIAH JOAQUIN LAUREL
3425 COFFEE RD STE C2
MODESTO, CA 95355-1582
Phone number: 209-521-4791
Mailing Address
JOSIAH JOAQUIN LAUREL
3425 COFFEE RD STE C2
MODESTO, CA 95355-1582
Phone number: