Individual
DJEDJESS AXEL NELSON CLAUDE ESSOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 KING OF PRUSSIA RD STE 650, RADNOR, PA 19087-5156
(215) 853-6682
(855) 568-2494
Mailing address
1149 W 190TH ST STE 2200, GARDENA, CA 90248-4344
(310) 856-0800
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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