JACKSON MINORU WALTHALL

VENTURA, CA
NPI1831822824
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2022-07-06
Last Update Date2022-07-06
Business Address
JACKSON MINORU WALTHALL
1304 E MAIN ST
VENTURA, CA 93001-3202
Phone number: 805-941-3656
Mailing Address
JACKSON MINORU WALTHALL
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345