TYSEAN DEMARCUS WALLACE

MINNETONKA, MN
NPI1972289825
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2023-06-26
Last Update Date2023-06-26
Business Address
TYSEAN DEMARCUS WALLACE
5501 FELTL ROAD MINNETONKA
MINNETONKA, MN 55343
Phone number: 952-746-0222
Mailing Address
TYSEAN DEMARCUS WALLACE
14301 EWING AVENUE SOUTH, BURNSVILLE, MN 55306
BURNSVILLE, MN 55306
Phone number: 952-764-5350