Individual
JAUNRU ALEXANDER WISNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3100 W RAY RD STE 201, CHANDLER, AZ 85226-2472
(818) 645-8980
Mailing address
5701 E GLENN ST APT 11, TUCSON, AZ 85712-5230
(818) 645-8980
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB701417
AZ
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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