IRENE BASIL MASEVERIYO

LAVEEN, AZ
NPI1851865570
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
(Licence: AZ  BH5585)
Enumeration Date2019-01-15
Last Update Date2019-01-15
Business Address
IRENE BASIL MASEVERIYO
4505 W BURGESS LN
LAVEEN, AZ 85339-1919
Phone number: 331-803-0822
Mailing Address
IRENE BASIL MASEVERIYO
4505 W BURGESS LN
LAVEEN, AZ 85339-1919
Phone number: 331-803-0822