Individual
JASMINE BIANCA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3341 AUTUMN CHASE WAY NE APT 104, SALEM, OR 97305-1677
(541) 525-5368
Mailing address
3341 AUTUMN CHASE WAY NE APT 104, SALEM, OR 97305-1677
(541) 525-5368
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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