Individual
AIDAN MECHEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5140 N. FRUIT AVENE, FRESNO, CA 93711
(559) 449-1059
Mailing address
2354 POWELL ST STE A, EMERYVILLE, CA 94608-1738
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/27/2018
Last updated
04/27/2018
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