Individual
CHAZZTIN INVENTOR PASCUAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14895 E 14TH ST STE 465, SAN LEANDRO, CA 94578-2989
(510) 346-7100
Mailing address
14895 E 14TH ST STE 465, SAN LEANDRO, CA 94578-2989
(510) 346-7100
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
CA
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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