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Individual

JENESI CANTU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
618 S ALDER ST, MOSES LAKE, WA 98837-1760
(509) 764-4476
Mailing address
960 S BALSAM ST, MOSES LAKE, WA 98837-2134
(509) 855-2923

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
06/02/2021
Last updated
06/02/2021
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