TANALUCK MAXIMILIAN MANOJIT

LAKEWOOD, CA
NPI1922888734
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Additional Taxonomies2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date2023-09-29
Last Update Date2023-09-30
Business Address
TANALUCK MAXIMILIAN MANOJIT
6032 VILLAGE RD
LAKEWOOD, CA 90713-3129
Phone number: 562-338-8078
Mailing Address
TANALUCK MAXIMILIAN MANOJIT
650 N ROSE DR # 337
PLACENTIA, CA 92870-7513
Phone number: 562-338-8078
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