Individual
DANNY KEIZUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
61 E LARCH PL, SHELTON, WA 98584-9724
(253) 370-9490
Mailing address
61 E LARCH PL, SHELTON, WA 98584-9724
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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