CHANEL ANTENORCRUZ ACOSTA

FREMONT, CA
NPI1821673997
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: CA  46-1305562)
Enumeration Date2021-03-10
Last Update Date2021-03-10
Business Address
CHANEL ANTENORCRUZ ACOSTA
39210 STATE ST STE 204
FREMONT, CA 94538-1456
Phone number: 510-894-4135
Mailing Address
CHANEL ANTENORCRUZ ACOSTA
3830 NORTHUMBERLAND TER
FREMONT, CA 94555-2262
Phone number: 510-320-8675
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