Individual
ADRIANNA DURRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9355 E STOCKTON BLVD STE 100, ELK GROVE, CA 95624-9476
(209) 572-2589
Mailing address
PO BOX 5157, MODESTO, CA 95352-5157
(209) 572-2589
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CA
Other
Enumeration date
10/01/2019
Last updated
11/05/2020
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